Medisys Compliance

APRIL 8, 2024

Precise Coding: Utilize the latest versions of ICD-10 (diagnosis codes) and CPT (procedure codes) to ensure accurate representation of services rendered. Detailed Documentation: Maintain clear and concise medical records that document the patient’s condition, treatment plan, and medical necessity for services.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

JUNE 14, 2023

Implementing advanced billing software that incorporates compliance checks and built-in coding assistance can help reduce coding errors and mitigate compliance risks. Documentation and Coding Accuracy Accurate documentation and coding play a vital role in medical billing.

Medical Billing 52

Medical Billing Medical Billing Services Medical Billing Outsourcing Regulatory Compliance 52

Medisys Compliance

MARCH 5, 2024

Payer Audits and Reimbursement Challenges in Cardiology Billing Common Challenges in Cardiology Billing Coding Complexity: Cardiology procedures often involve multiple components and intricacies that require accurate coding to reflect the level of service provided.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

Medisys Compliance

MAY 4, 2023

Some of the common challenges include: Complex coding: Oncology medical billing requires accurate and detailed coding of diagnoses, procedures, and medications. This can be challenging due to the complex nature of cancer treatment and the need for precise documentation.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 52

Medisys Compliance

JANUARY 9, 2024

Documentation Matters: Ensure your medical records are clear, concise, and complete. So ditch the denials and let Medisys handle the billing, while you focus on what you do best – delivering exceptional patient care. The Pillars of Success Accuracy is King: Double-check everything!

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

APRIL 12, 2023

They must also stay up-to-date with constantly changing coding requirements and maintain accurate documentation. This can be challenging due to the breadth of services provided by family practice providers and the need to code for a wide range of diagnoses and procedures.

Medical Billing 52

Medical Billing Medical Billing Services Medical Billing Outsourcing Compliance 52

Medisys Compliance

AUGUST 26, 2022

Maintain accurate records of your patients: To assist clinicians in streamlining patient record documentation, CMS announced a number of modifications to E/M documentation beginning in 2019.

Medical Billing 98

Medical Billing Medical Billing Services Medical Billing Outsourcing Doctors 98

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

APRIL 10, 2024

This article equips US-based wound care providers with the knowledge to ensure proper reimbursement for this valuable service. Optimizing Your Reimbursement Strategy Documentation is Key: When seeking reimbursement for HBOT, meticulous documentation is essential. diabetic foot ulcer – E11.47).

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

FEBRUARY 27, 2024

Documentation Requirements Accurate and thorough documentation is essential for radiology billing compliance. Radiologists must document all services provided, including interpretations, procedures, and findings, by established guidelines.

Compliance 59

Compliance Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

OCTOBER 20, 2023

Technology Integration: Billing software and electronic health record (EHR) systems can streamline processes and reduce human errors in emergency medical specialists billing. Thorough Documentation: Comprehensive and accurate documentation is the cornerstone of proper coding and billing.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 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

OCTOBER 14, 2022

Let’s glance through a myriad range of reasons as to how medical billing services can help you maximize profitability, reduce costs and skyrocket your profits. Scalability to Support Ongoing Growth : The ability to scale is one of the main benefits of working with a medical billing company.

Medical Billing Services 98

Medical Billing Services Medical Billing Medical Billing Outsourcing Regulations Compliance 98

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

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

OCTOBER 17, 2022

Any underpayments can be discovered at the correct time by checking the payments received from all insurers and comparing them to the bills submitted. Early discovery can help with timely claim submission or document rectification, which can result in full payout by the insurers.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services HIPAA 98

Medisys Compliance

DECEMBER 29, 2022

By ensuring timely and correct documentation for coding and billing cases and sufficient revenue cycle staffing, work toward timely, accurate documentation. Your practice can efficiently reduce AR days by partnering with Medisys Data Solutions for accounts receivable management services.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services Nurses 98

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

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 11, 2024

Documentation Burden Detailed documentation is crucial for supporting claims and ensuring compliance with regulations. Proper medical terminology and abbreviations. The time and resources required for this meticulous documentation add significantly to the overall cost. This includes: Wound assessments and progress notes.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

OCTOBER 21, 2022

Provider credentialing documents should be submitted and tracked depending on insurance plan criteria. Without the assistance of a medical billing professionals, the process of medical billing is a challenging subject to comprehend and it may be challenging to stay current with changes in this field.

Medical Billing 105

Medical Billing Medical Billing Services Medical Billing Outsourcing COVID-19 105

Medisys Compliance

JANUARY 31, 2024

Choose specific codes that accurately reflect the services provided, duration, and complexity (e.g., 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. Vague or incomplete notes raise red flags.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 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

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

JANUARY 23, 2023

Measures that can be taken to prevent errors that lead to denials include making sure clinical personnel are well-trained on the most recent ICD-10 coding updates, continuing the education of coders, and making sure staff members communicate with doctors when documentation problems arise. Experience is the last but not least!

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 98

Medisys Compliance

NOVEMBER 3, 2022

The billing team did not follow up with the address denials. Lack of document filing and scanning techniques resulted in no record collections. You can choose the level of support your office needs from our range of medical billing services for radiology practices , whether you need assistance regularly, occasionally, or occasionally.

Medical Billing Services 98

Medical Billing Services Medical Billing Outsourcing Medical Billing Compliance 98

Medisys Compliance

APRIL 25, 2024

Documentation: Thorough and detailed documentation in your patient notes becomes even more important as it supports the quality measures you report. Data Submission: Reporting accurate quality data through registries or certified EHR systems is required for MIPS participation.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medicare Medicare 64

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

SEPTEMBER 21, 2022

Scores of surgery centers have been financially crippled during the pandemic, a majority of the centers have worsened situations due to poor documentation in the ASC medical billing and coding. Unreconciled billing : Reconcile billing is very significant to assure that all the cases already performed have been billed.

Medical Billing Services 98

Medical Billing Services Medical Billing Medical Billing Outsourcing 98

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. Time Considerations: Group sessions typically last 45-60 minutes, impacting the appropriate CPT code.

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.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

NOVEMBER 23, 2023

Incomplete or Inconsistent Documentation Incomplete or inconsistent documentation can impede proper coding and lead to claim denials. Clear and concise procedure descriptions: Clearly document the type of radiology procedure performed, including the specific views, sequences, and any contrast materials used.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Fraud 59

Medisys Compliance

JANUARY 21, 2024

Documentation Requirements: Documentation demands could increase to justify new services and comply with parity mandates. Payer Audits and Scrutiny: Payers may initially scrutinize claims for new services more closely. Maintain meticulous documentation and stay updated on evolving billing guidelines to reduce audit risks.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

DECEMBER 1, 2023

These audits aim to ensure that the provider is accurately assigning CPT (Current Procedural Terminology) and HCPCS (Healthcare Common Procedure Coding System) codes to wound care services, adhering to coding guidelines, and documenting services in a clear and concise manner.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

OCTOBER 18, 2023

Following are some guidelines to follow when using this procedure code: Correctly identify the service: Ensure that the service being coded is the interpretation and report of an EKG, not the performance of the EKG test itself. 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 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

NOVEMBER 1, 2023

The impact of inaccurate charge entry on medical billing Accurate charge entry is essential for healthcare organizations to maintain financial stability and optimize their revenue cycle. Importance of accurate documentation in charge entry Accurate documentation is essential for accurate charge entry.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59