Medisys Compliance

JULY 26, 2022

Hospital administrators, physicians, and members of every healthcare office billing department know that if their practice or hospital provides services to Medicare patients, they must be prepared to potentially receive a request for an audit. 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

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

JANUARY 11, 2024

Audits: Increased scrutiny from Medicare and Medicaid for potential coding discrepancies. Documentation Burden Detailed documentation is crucial for supporting claims and ensuring compliance with regulations. Proper medical terminology and abbreviations. Efficient documentation practices and record-keeping systems.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid 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. Only complete or sufficient documentation can result in claim denials or downcoding.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

Medisys Compliance

APRIL 19, 2023

The Medicaid program in Florida provides medical services and assistance to low-income individuals and families. To participate in the Medicaid program, healthcare providers must meet several general requirements set forth by the Agency for Health Care Administration (AHCA).

Medicaid 52

Medicaid Medicaid Medical Billing Outsourcing Licensing 52

Medisys Compliance

APRIL 10, 2024

Understanding Coverage and Coding Medicare reimbursement for HBOT hinges on the diagnosis. Optimizing Your Reimbursement Strategy Documentation is Key: When seeking reimbursement for HBOT, meticulous documentation is essential. Don’t let the complexities of HBOT billing hinder your ability to offer this vital treatment.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

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

JULY 13, 2023

Medicare recognizes the importance of diabetes self-management training and offers coverage for eligible beneficiaries. However, there are specific guidelines and conditions that need to be met for Medicare billing. Diabetes Education Billing Guidelines for Medicare Who May Furnish the Training?

Medicare 52

Medicare Medicare Medical Billing Outsourcing Health Outcomes 52

Medisys Compliance

JULY 29, 2022

We are sharing Medicare guidelines for laser-assisted cataract surgery billing from a last updated CMS document. We shared this document as it was published, to avoid any error while billing for laser-assisted cataract surgery. Medicare Policy Regarding Non-Covered Services.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

JUNE 30, 2022

Medicare Coverage for MNT. The Social Security Act authorizes Medicare Part B coverage of Medical Nutrition Therapy services (MNT) for certain beneficiaries who have diabetes or a renal disease. Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

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 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

JANUARY 21, 2024

Understanding the Bill and its Implications The mental health omnibus bill encompasses a multitude of provisions aimed at bolstering mental health resources and services. Mental Health Billing and the Mental Health Omnibus Bill These changes will undoubtedly affect billing practices.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 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

MAY 17, 2024

Medical Necessity: Payers may deny claims if they deem the service not medically necessary. This often involves providing clear documentation justifying the treatment plan. Missing or Incomplete Information: Claims with missing documentation or unclear notes may be denied for further review.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

APRIL 5, 2024

Some common modifiers used in MPI billing include: 59 (Distinct procedural service): Used if a separate and medically necessary service is performed on the same day as the MPI (e.g., Medicare Coverage and Reimbursement MPI is covered by Medicare under specific conditions.

Medical Billing 64

Medical Billing Medical Billing Outsourcing Medicare Medicare 64

Medisys Compliance

NOVEMBER 21, 2023

Accurate and timely billing is a fundamental aspect of financial success for Skilled Nursing Facilities (SNFs), particularly when it comes to optimizing SNF billing. In this guide, we will explore into essential SNF billing tips to help you optimize your billing processes and navigate the complexities of reimbursement.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Medical Billing 59

Medisys Compliance

MAY 27, 2024

Streamlining Your GI Billing Process Patient Insurance Verification: Before each encounter, confirm the patient’s insurance is active and understand their GI coverage details (deductibles, co-pays, covered services). Accurate Documentation: Maintain thorough medical records for each patient.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 59

Medisys Compliance

MAY 22, 2024

Optimizing Your Workflow for Accurate Billing Verify Patient Insurance and Benefits: Before each session, confirm the patient’s insurance is active and understand their mental health coverage details (deductibles, copays, covered services). Detailed Documentation: Maintain thorough notes for each session.

Compliance 59

Compliance Medical Billing Services Medical Billing Medical Billing Outsourcing 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

MAY 30, 2024

Documentation: Ensure your medical documentation clearly supports the chosen ICD-10 code for prediabetes diagnosis. Coding Tips for Endocrinologists Document Blood Sugar Levels: Clearly document the patient’s blood sugar levels (FPG, OGTT results) in the medical record to justify the chosen ICD-10 code.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Public Health ADA Medical Billing 59

Medisys Compliance

FEBRUARY 29, 2024

This article explores into the key considerations for optimizing billing for virtual care in primary care, ensuring you receive proper reimbursement for your services. Understanding Virtual Care Billing Codes Familiarizing yourself with the specific billing codes assigned by Medicare and private payers is paramount.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Informed Consent Medical Billing Medicare 59

Medisys Compliance

JANUARY 20, 2022

The Centers for Medicare & Medicaid Services (CMS) recognizes that CCM services are critical components of primary care that promote better health and reduce overall health care costs. Billing Guidelines for Medicare Chronic Care Management. practitioner must obtain patient consent before furnishing or billing CCM.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

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

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. Ensure that the documentation supports medical necessity and the services provided.

Medical Billing 52

Medical Billing Medicaid Medicaid Telemedicine 52

Medisys Compliance

FEBRUARY 26, 2024

With expertise in coding, documentation, and compliance, Medisys ensures accurate reimbursement for comprehensive cardiac services. Contact Medisys to learn more about cardiology billing services. Trust Medisys to optimize your revenue cycle management, allowing you to focus on delivering high-quality care to your patients.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Patient Satisfaction 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

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

FEBRUARY 9, 2024

Starting in January 2024, home health agencies must bill for dNPWT devices using the dedicated TOB code 032x. This update requires home health agencies to adjust their billing processes and documentation to ensure accurate claims for dNPWT devices. This code is separate from the codes used for other wound care services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Payment Systems Medical Billing 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

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

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

MARCH 14, 2023

DRGs are a payment classification system used by Medicare and other insurance providers to categorize patients into groups based on their diagnosis, severity of illness, and the resources required for their care. Hospitals are paid a fixed amount for each DRG, regardless of the actual cost of the care provided.

Payment Systems 52

Payment Systems Medical Billing Medicare Medicare 52

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

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

OCTOBER 8, 2023

Documentation: Comprehensive and accurate documentation of the patient’s condition, treatment plan, and progress is essential for proper billing and to demonstrate medical necessity. Telehealth Billing: In recent years, telehealth has become a vital platform for delivering mental health services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59