Medisys Compliance

FEBRUARY 19, 2025

Billing Update: Medicare Radiology Reimbursement Cuts 2025 Effective January 2025, radiology practices nationwide are facing reduced Medicare reimbursements due to finalized changes in the Physician Fee Schedule. Now, in February 2025, these proposed rules are our current reality. Here are key steps you can take: 1.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

MRO Compliance

JANUARY 16, 2025

To address these gaps, the Centers for Medicare & Medicaid Services (CMS) now mandates the use of FHIR-based APIs for data sharing. Such proactive engagement helps meet compliance standards, builds trust, and improves outcomes. Navigating the No Surprises Act Unexpected medical bills remain a significant pain point for patients.

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Overpayments Overpayment Regulatory Compliance Patient Satisfaction 130

American Medical Compliance

FEBRUARY 15, 2025

In the complex world of healthcare, maintaining compliance with federal regulations is crucial for the integrity of healthcare providers. The landscape of billing, coding, and claims processes is constantly evolving. Get Certified American Medical Compliance (AMC) is a leader in the industry for compliance, Billing, and HR solutions.

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Medisys Compliance

JANUARY 23, 2025

As we step into 2025, mental health providers must stay informed about evolving telehealth billing regulations to ensure compliance and optimize reimbursement. Will Medicare Stop Paying for Telehealth in 2025? CPT codes are essential for billing telehealth services accurately. What Is the CPT Code for Telehealth in 2025?

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Medical Billing Outsourcing Medicare Medicare Medical Billing 59

Medisys Compliance

APRIL 8, 2025

Psychiatric billing services play a crucial role in ensuring that mental health providers receive timely and accurate reimbursement for their services. To maintain financial stability and focus on patient care, psychiatric professionals must have an efficient billing process in place. Some psychiatric services require modifiers (e.g.,

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Medical Billing Medical Billing Outsourcing Compliance HIPAA 59

Compliancy Group

JANUARY 3, 2024

One of the most common ways for providers and healthcare organizations to run afoul is to incorrectly or illegally bill and code for services or supplies. No matter the intent, noncompliance in medical billing can have severe consequences. It pays to know the law and avoid temptations to cut corners.

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Medical Billing Compliance ACA Health Insurance 52

Medisys Compliance

JANUARY 16, 2025

Behavioral health providers play a critical role in addressing mental health challenges, but navigating the complexities of billing can be daunting. The Centers for Medicare & Medicaid Services (CMS) provides comprehensive behavioral health billing guidelines, which can be overwhelming due to their technical nature and breadth.

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Medicare Medicare Medical Billing Outsourcing Fraud 59

Medisys Compliance

DECEMBER 30, 2024

The healthcare industry is ever-evolving, and managing administrative tasks like medical billing has become increasingly complex. Many healthcare providers now outsource medical billing services to specialized companies. What Does It Mean to Outsource Medical Billing Services?

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Medical Billing Services Medical Billing Medical Billing Outsourcing Regulatory Compliance 59

Compliancy Group

JULY 18, 2024

consistently hemorrhaging money through wasteful practices, more healthcare organizations are opting to use third-party medical billing companies to reduce the chance of errors within their billing operations. With OIG compliance program guidance for third-party medical billing companies, it’s simpler to keep risk levels low.

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Medisys Compliance

APRIL 25, 2025

Pathology comes with its own unique set of operational complexities, particularly when it comes to medical billing. Accurately coding and billing for specimen analysis, diagnostic interpretations, and laboratory tests requires specialized knowledge that goes beyond standard medical billing practices.

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Medical Billing Outsourcing Medical Billing Compliance Medicare 59

Medisys Compliance

JANUARY 30, 2025

Insurance verification plays a crucial role in radiology billing, as it directly impacts reimbursement rates, claim approvals, and patient satisfaction. Radiology services often involve high-cost procedures, making accurate insurance verification essential to reduce denials and maintain compliance with payer requirements.

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Medical Billing Outsourcing Medical Billing Compliance Patient Satisfaction 59

Medisys Compliance

MARCH 21, 2025

Accurately understanding physical therapy billing units is crucial for healthcare providers to ensure proper reimbursement and compliance. But behind every effective treatment plan is the challenge of accurate documentation and billing. Under this rule: You must provide at least 8 minutes of a timed service to bill one unit.

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Medical Billing Outsourcing Compliance Medicare Medicare 59

Medisys Compliance

JUNE 27, 2022

The Centers for Medicare and Medicaid Services (CMS) has announced a shift in its eligibility criteria for coverage of lung cancer screening using low-dose CT (LDCT), with implementation date of October 3 rd , 2022. If you need any assistance in billing for Medicare, contact us at info@medisysdata.com/ 302-261-9187.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 97

Medisys Compliance

APRIL 29, 2025

Cardiology coding is a highly specialized area of medical billing that demands deep understanding of cardiovascular procedures, diagnostic services, and corresponding coding systems. Maintaining Compliance: Prevents over-coding or under-coding issues, ensuring adherence to CMS, payer, and federal guidelines.

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Medical Billing Outsourcing Medical Billing Compliance Medicare 59

Medisys Compliance

DECEMBER 24, 2024

Medicare Reimbursement Medicare covers teletherapy under specific guidelines: Eligible Providers: Includes licensed clinical social workers (LCSWs), clinical psychologists, and other licensed professionals. Check state-specific Medicaid guidelines to ensure compliance. the patients location or the use of specific technology).

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Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Medisys Compliance

MARCH 19, 2025

Why Radiology Billing Matters In the complex landscape of healthcare, radiology practices play a pivotal role in diagnosis and treatment. However, the financial health and compliance of these practices are heavily reliant on accurate and efficient radiology billing.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

DECEMBER 23, 2022

The internet is ringing with the news of the CMS Updates Final rule for the 2023 Medicare Physician Fee Schedule. The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. Medicare reimbursement for telehealth services. Principles of PFS.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 98

Medisys Compliance

DECEMBER 30, 2024

While its therapeutic benefits are well-recognized, the process of billing for CBT can be complex and often confusing for mental and behavioral health providers. This article serves as a detailed guide for providers, addressing key aspects of CBT billing to ensure compliance, accuracy, and maximize reimbursement.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

FEBRUARY 13, 2025

However, the financial health of your practice hinges significantly on efficient and accurate medical billing. In the complex world of healthcare administration, cardiology medical billing stands out as particularly challenging. When to Consider Cardiology Billing Services? Is Outsourcing Right for You?

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Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 59

Medisys Compliance

OCTOBER 1, 2022

Navigating through the complex medicare guidelines can be a complex and overwhelming task, however, here is the good news, the entire process is merely about using the right CPT codes. However, one needs to be careful while billing as Medicare follows strict rules and regulations for time increments.

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Medisys Compliance

APRIL 23, 2024

Introduction In today’s ever-evolving healthcare landscape, efficient and accurate medical billing is of highest priority for a practice’s financial health. Utilize resources from the Centers for Medicare & Medicaid Services (CMS) and your local healthcare associations. Medisys can help!

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Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

JULY 27, 2023

Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. This helps maintain compliance and reduce errors.

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American Medical Compliance

MARCH 6, 2025

Fraud, Waste, and Abuse (FWA) remain critical challenges in the healthcare industry, impacting patient care, financial integrity, and regulatory compliance. Whether you’re a season professional or new to compliance training, this course will help you navigate FWA-related challenges with confidence and accountability.

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Fraud Medicare Medicare Compliance 52

Medisys Compliance

OCTOBER 27, 2023

Introduction In the complex world of healthcare in the United States, small medical practices often face the challenge of managing their medical billing effectively. The term ‘medical billing for small practices’ encompasses a wide array of topics that are crucial for these healthcare providers.

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Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 59

Medisys Compliance

FEBRUARY 24, 2025

What Defines Group Therapy Billing? To effectively navigate group therapy billing, it’s crucial to establish a clear understanding of what defines group therapy within the context of medical billing. Understanding modifier application can optimize your group therapy billing.

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Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

MARCH 5, 2024

Understanding the Landscape of Cardiology Billing Cardiology billing encompasses a wide range of services, including diagnostic testing, interventional procedures, and ongoing patient care.

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Medical Billing Outsourcing Medical Billing Compliance Governance 105

Physician Credentialing Company

DECEMBER 20, 2024

However, the question arises whether there is any condition in which a non-credentialed provider can be billed independently or under a supervising provider in medical billing. There are a lot of federal and payer-specific policies about billing non-credentialing providers.

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Medical Billing Compliance Malpractice Regulatory Compliance 52

Physician Credentialing Company

OCTOBER 31, 2024

Medical billing and coding are the cornerstone of maintaining financial stability in the healthcare sector. Medical services are mentioned in the form of CPT codes in the medical bills. Medical services are mentioned in the form of CPT codes in the medical bills.

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Medical Billing Compliance Doctors Medicare 52

Medisys Compliance

FEBRUARY 14, 2022

For providers who primarily provide care for older patients, the process is even more complex due to stringent Medicare regulations and idiosyncrasies specific to each care environment that impact the coding and documentation required for reimbursement. Ambulatory Setting.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Medisys Compliance

APRIL 22, 2024

Introduction Urology practices face unique challenges in medical billing due to the intricate nature of procedures and specific coding requirements. Understanding Urology Billing The core principles of medical billing remain the same for urology.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

APRIL 8, 2025

Understanding Laboratory Coding in Medical Billing What is Laboratory Coding? CMS Guidelines The Centers for Medicare & Medicaid Services (CMS) plays a significant role in laboratory billing. Documentation Requirements Proper documentation is crucial to support the medical necessity and accuracy of laboratory billing.

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Medical Billing Outsourcing COVID-19 Medical Billing Medicare 52

Medisys Compliance

APRIL 8, 2024

Introduction In the complex world of healthcare administration, optimizing medical billing processes is crucial for ensuring prompt payments and financial stability. Understanding the Importance of Medical Billing Medical billing serves as the backbone of revenue generation for healthcare practices.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

FEBRUARY 27, 2024

Introduction Radiology billing compliance is a critical aspect of managing a successful radiology practice. With a myriad of regulations and the potential for audits looming, radiologists and billing staff need to have a solid understanding of compliance requirements.

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Compliance Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

MARCH 29, 2022

While following mentioned write-offs represent inefficiencies in your medical billing operations. Every payer has a deadline for submitting charges, sometimes your billing team misses some charges. Medicare requires that claims be filed no later than 12 months after the date of service to be paid.

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Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Medisys Compliance

AUGUST 1, 2023

Efficient medical billing and coding are crucial for healthcare providers in North Carolina (NC) to ensure timely reimbursements and maintain a sustainable revenue stream. However, navigating the complexities of medical billing can be a daunting task, diverting valuable time and resources away from patient care.

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Medical Billing Services Medical Billing Medical Billing Outsourcing Compliance 52

Medisys Compliance

AUGUST 1, 2023

Efficient medical billing and coding are crucial for healthcare providers in North Carolina (NC) to ensure timely reimbursements and maintain a sustainable revenue stream. However, navigating the complexities of medical billing can be a daunting task, diverting valuable time and resources away from patient care.

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Medical Billing Services Medical Billing Medical Billing Outsourcing Compliance 52

Medisys Compliance

MARCH 24, 2025

Unlike traditional primary care, urgent care centers handle a mix of walk-in patients with varying levels of acuity, which creates a complex billing environment. Efficient billing ensures your urgent care facility gets reimbursed accurately and promptly. In such cases, outsourcing urgent care billing services can be a viable solution.

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