Medisys Compliance

FEBRUARY 19, 2024

Diagnosis Drives Reimbursement: Accurately document diagnoses using ICD-10 codes that align with the group’s focus and individual client needs. Ensure diagnoses support the medical necessity of group therapy for each participant. If you treat Medicare or Medicaid patients, ensure you have the necessary knowledge and resources.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

APRIL 25, 2024

MIPS focuses on four key performance categories: Quality: This measures the quality of care you provide to your patients based on specific metrics established by the Centers for Medicare & Medicaid Services (CMS). Reporting accurate data for cardiology-specific quality measures is crucial.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Medisys Compliance

APRIL 23, 2024

Implement Regular Audits: Regularly audit your billing processes to identify and address any coding inconsistencies or documentation gaps. missing information, coding errors) and have a clear process for appealing denials with proper documentation. This fosters trust and reduces billing surprises.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

APRIL 10, 2024

Covered conditions include diabetic foot ulcers with specific criteria (documentation of non-healing for at least 30 days with standard therapy is crucial) as well as gangrene, decompression sickness, gas embolism, carbon monoxide poisoning, and compromised flaps in crush injuries. diabetic foot ulcer – E11.47).

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

APRIL 1, 2024

Documentation Requirements: Maintain thorough documentation of the telehealth encounter, including the communication method (video, audio-only, etc.), Patient Consent: Ensure patients have consented to receiving telehealth services and understand potential billing implications. Stay updated on your state’s regulations.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing COVID-19 Medicaid 59

Medisys Compliance

FEBRUARY 21, 2024

Billing Components of CPT Code 59400 Antepartum Care: Antepartum care includes all prenatal visits and services provided to the pregnant patient before delivery. Each antepartum visit should be documented thoroughly, including the history, physical examination, medical decision-making, and any procedures or interventions performed.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicaid 59

Medisys Compliance

MAY 3, 2024

This guide will equip you with the knowledge to decipher these often-confusing documents. An EOB is a document sent by an insurance company to a patient after a healthcare service is rendered. Gather Supporting Documentation: If necessary, gather documentation to justify the service, such as treatment notes or progress reports.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

MARCH 15, 2024

For proper reimbursement, ensure your medical records clearly document the specific hormone or substance measured in the RIA test. Also document the medical reason for ordering the RIA test, linking it to the patient’s diagnosis and treatment plan. Stay updated on coding changes: CPT codes are periodically revised.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

APRIL 22, 2024

Understanding Urology Billing The core principles of medical billing remain the same for urology. Documentation Thorough documentation is essential for accurate coding and claim acceptance. Claim Submission Similar to general billing, coded claims are submitted electronically to insurance companies.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

MARCH 7, 2024

Consequently, staying informed about these updates is imperative for healthcare professionals to accurately document and bill for services rendered. Similarly, revisions to existing codes may reflect updates in procedural techniques or changes in documentation requirements.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Regulatory Compliance Compliance 59

Medisys Compliance

APRIL 16, 2024

While seemingly straightforward, complexities arise due to insurance regulations and documentation requirements. Ensure impeccable documentation reflects the exact start and end times, excluding administrative tasks. Medical Necessity: Justify why a 60-minute session is necessary.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

FEBRUARY 13, 2024

In progress notes, document session duration, interventions, and treatment plan goals. When family members are involved, utilize specific code modifiers (-96, -97) and submit detailed clinical documentation demonstrating medical necessity. Ensure informed consent is obtained for treatment and billing practices.

Medical Billing Outsourcing 69

Medical Billing Outsourcing Informed Consent Medical Billing Compliance 69

Medisys Compliance

DECEMBER 29, 2023

Introduction The realm of cardiology encompasses a vast array of specialized services and procedures, demanding precise documentation and accurate coding for proper reimbursement. This article serves as a detailed guide, unpacking the details of this CPT code range 92920-93793 and its applications within cardiology billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

APRIL 26, 2024

Essential Considerations for Accurate Outpatient Billing Accurate Documentation: Detailed and clear physician documentation is vital for accurate coding. Documentation should reflect the history of present illness, review of systems, medical decision-making, physical examination findings, and assessment/plan.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

MARCH 10, 2024

However, billing for telehealth services involves navigating complex regulations and payer policies. Understanding the requirements for telehealth reimbursement and documenting services appropriately are crucial aspects of successful billing in this evolving landscape.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing COVID-19 Nurses 59

Medisys Compliance

FEBRUARY 29, 2024

Ensuring Documentation Accuracy Proper documentation remains the cornerstone for successful reimbursement in virtual care: Detail the Virtual Encounter: Document the nature of the virtual visit, including the specific technology used, the duration of the interaction, and any pertinent clinical findings.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Informed Consent Medical Billing Medicare 59

Medisys Compliance

JANUARY 4, 2024

Code selection hinges on the time spent, complexity of medical decision-making, and four key elements: history, examination, medical decision-making, and counseling/coordination of care. Required Documentation Solid medical documentation is your armor against denials and audits.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

NOVEMBER 30, 2023

Defining Urology Denials Urology denials management refers to the rejection of claims for urological services due to various reasons, including coding errors, documentation deficiencies, eligibility issues, lack of prior authorizations, and disputes over medical necessity.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

JANUARY 21, 2024

Documentation Requirements: Documentation demands could increase to justify new services and comply with parity mandates. Maintain meticulous documentation and stay updated on evolving billing guidelines to reduce audit risks. We can: Stay updated on billing regulations and codes related to the omnibus bill.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

OCTOBER 18, 2023

Document the interpretation: The EKG interpretation should be documented by a qualified healthcare professional, such as a cardiologist, who has the necessary expertise to analyze the results accurately. Ensure accurate documentation: Accurate documentation is crucial for proper coding and billing.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 59

Medisys Compliance

NOVEMBER 8, 2023

Mental health providers should be aware of the rules and regulations set forth by the Centers for Medicare and Medicaid Services (CMS) and other federal agencies. Payer Policies: Private insurance companies, Medicaid, and Medicare have varying policies regarding telehealth reimbursement.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Medisys Compliance

FEBRUARY 14, 2024

Accurate ICD-10 coding ensures appropriate reimbursement and reflects the patient’s medical history. Accurately documenting the history, examination, and medical decision-making determines the appropriate E/M code (e.g., 99213) and subsequent physician compensation. Thorough code review is crucial.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 52

Medisys Compliance

JULY 27, 2023

How do I ensure compliance with Kentucky Medicaid and Medicare billing guidelines? Training and education: Ensure that the billing and coding staff receive appropriate training on Kentucky Medicaid and Medicare guidelines. Documentation accuracy: Accurate and complete documentation is vital for billing compliance.

Medical Billing 52

Medical Billing Medicaid Medicaid Telemedicine 52

Medisys Compliance

MARCH 21, 2024

By synchronizing patient data, billing codes, and claims processing, EHR integration simplifies the billing process and reduces the risk of errors and delays. Patient information flows seamlessly from clinical encounters to billing, reducing administrative burdens and improving practice efficiency.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Doctors Medical Billing Services 59

Medisys Compliance

NOVEMBER 6, 2023

Introduction Orthopedic billing compliance is essential for healthcare providers to avoid costly audits and penalties. By following a comprehensive orthopedic billing compliance checklist, providers can ensure that their claims are accurate, complete, and supported by proper documentation.

Compliance 59

Compliance Medical Billing Outsourcing Medical Billing ACA 59

Medisys Compliance

APRIL 8, 2024

Detailed Documentation: Maintain clear and concise medical records that document the patient’s condition, treatment plan, and medical necessity for services. Appeals Process: Develop a system for timely appeals with clear documentation to support the claim’s validity.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 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. MLN Document: Screening for Lung Cancer with Low Dose Computed Tomography (LDCT). CMS Announcement for Revised Coverage.

Medicare 97

Medicare Medicare Medical Billing Medical Billing Outsourcing 97

Medisys Compliance

JANUARY 31, 2024

Time flies, but track it accurately: Be meticulous about documenting session duration. Billing for longer sessions than documented, or vice versa, is a red flag. Incomplete Documentation Session notes should be detailed, capturing the presenting problem, interventions, progress, and treatment plan.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

MAY 7, 2024

Increased Revenue & Reduced Denials: Accurate coding and proper documentation are key components of streamlined billing. Develop Clear Documentation Procedures: Detailed and accurate patient notes are crucial for accurate coding and minimizing denials.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

NOVEMBER 24, 2023

Document Telehealth Encounters: Maintain comprehensive documentation of each telehealth encounter, including the date, time, duration, and type of service provided. This documentation serves as evidence of the services rendered and supports accurate billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Telemedicine Medical Billing Services 59

Medisys Compliance

AUGUST 1, 2023

The Challenges of Medical Billing in North Carolina Regulatory Complexity: Medical billing in NC is subject to a myriad of regulations , including those imposed by federal agencies like Medicare and Medicaid, as well as state-specific guidelines.

Medical Billing Services 52

Medical Billing Services Medical Billing Medical Billing Outsourcing Compliance 52

Medisys Compliance

AUGUST 1, 2023

The Challenges of Medical Billing in North Carolina Regulatory Complexity: Medical billing in NC is subject to a myriad of regulations , including those imposed by federal agencies like Medicare and Medicaid, as well as state-specific guidelines.

Medical Billing Services 52

Medical Billing Services Medical Billing Medical Billing Outsourcing Compliance 52

Medisys Compliance

NOVEMBER 21, 2023

Track remaining Medicare Part A SNF benefit days to avoid billing for non-covered days. Document Thoroughly Maintain comprehensive medical records to substantiate billing claims. Attend industry training and workshops to stay informed about billing changes.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Medical Billing 59

Medisys Compliance

MAY 7, 2024

Mental health providers often deal with a diverse range of services, including therapy sessions, psychiatric evaluations, and assessments, each requiring accurate coding and documentation.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance HIPAA 59

Medisys Compliance

JANUARY 16, 2024

Number of Clients: The billed amount may vary based on the number of clients in the group. Documentation is Key: Accurate and detailed session notes are crucial for successful billing. Missed Sessions: Check your payer’s policy on billing for missed sessions. Use modifier 59 to indicate separate services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

JULY 26, 2022

The Centers for Medicare and Medicaid Services (CMS) is responsible for devising the audit strategy and enforcing it on a year-to-year basis. CMS also provides documents online to help you further understand the process in more detail. CMS also provides documents online to help you further understand the process in more detail.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

OCTOBER 12, 2023

Document the therapeutic interventions and progress made during the extended session to support medical necessity. Document the therapeutic interventions and progress made during the extended session to support medical necessity. Clearly document the therapeutic work done during the session, including goals and outcomes.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59