Medisys Compliance

DECEMBER 7, 2022

It goes without saying that billing for medical services requires a lot of effort and time. No matter how big your hospital or medical setting is, this is true. Be aware that outsourcing medical billing will reduce your need to deal with legal and regulatory issues while also saving you time.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Hospitals 59

Medisys Compliance

DECEMBER 14, 2022

Every hospital has financial leakage due to some reason, which costs a significant amount of money. After researching the main revenue leak points in a hospital, we have realized that staying updated with changes in codes is crucial. Majority of the practices have benefitted with outsourcing medical billing services.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 98

Medisys Compliance

NOVEMBER 11, 2022

The success of outsourcing depends largely on the medical billing company you select. Finding a company who can deliver more than just medical billing services is crucial, and they should also be able to deliver in-depth reports, financial analyses, and patient statements.

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Medical Billing Services Compliance 98

Medisys Compliance

NOVEMBER 15, 2022

Particularly, more patients are anticipated to visit hospitals and clinics. We all can agree that thanksgiving can be super-taxing considering that medical settings have an influx of patients. In such situations, it is better to hire professionals to take care of the exhausting medical billing process. You’re welcome!

Medical Billing 98

Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 98

Medisys Compliance

JANUARY 23, 2023

They are constantly looking for better possibilities at larger hospitals and companies. You can hire dedicated specialists to focus solely on the billing and money collection process by working with an outsourcing business like Medisys Data Solutions. 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

Updating hospital admissions made while the billing system was in chaos, along with charges and payments. 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. Wrapping up.

Medical Billing Services 98

Medical Billing Services Medical Billing Outsourcing Medical Billing Compliance 98

Medisys Compliance

JANUARY 17, 2023

To make the best use of their time, the medical billing services staff will employ the most recent version of their software. It could be preferable to upgrade by using a third party if it has been a while since you bought and installed your practice’s accounting system. Conforming to HIPPA.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Doctors 52

Medisys Compliance

OCTOBER 25, 2022

Listicle for the inhouse team to upscale their medical billing process. It ought to be self-sufficient: This indicates that in addition to improving the facility’s revenue, hospital wound clinics should concentrate on treating patients’ wounds outside of the hospital.

Medical Billing 105

Medical Billing Medical Billing Outsourcing Hospitals Doctors 105

Medisys Compliance

DECEMBER 12, 2022

Tracking, overseeing, and managing the entire revenue cycle of a hospital is known as revenue cycle management. A hospital’s income cycle is universal. Mismanagement of your revenue cycle will have devastating effects for a hospital if it is ignored for an extended period of time. Here’s a mind tickler for you!

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Hospitals Medical Billing Services 98

Hall Render

APRIL 12, 2024

in billing fraud Arizona system names new CEO Banner Health CEO Peter Fine to retire after 24 years, handing the reins to health system president Four UArizona bioscience startups selected for Flinn Foundation program Gov. to Develop Wearable Blood Loss Detector An Academic Lifeline for Rural Hospitals CHI St.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Medisys Compliance

MAY 25, 2022

If your practice depends on a hospital or other facility to provide procedure or diagnosis data, make sure that the chargemaster and diagnosis listing contains the most current version of CPT, HCPCS, and ICD-10 codes. To know more about our complete medical billing services, contact us at info@medisysdata.com / 302-261-9187.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 52

Medisys Compliance

JUNE 16, 2022

Medicare’s 3-day (or 1-day) payment window applies to outpatient services that hospitals and hospital wholly owned or wholly operated Part B entities furnish to Medicare beneficiaries. However, if a third organization owns or operates both the hospital and the entity, then the payment window provision doesn’t apply.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Hospitals Medicare 52

Medisys Compliance

FEBRUARY 9, 2024

Providers should consult the latest CPT manual and coding resources to ensure they are using the correct codes for their services. Hospital Outpatient Prospective Payment System (OPPS) Updates OPPS is a payment system used by Medicare to reimburse hospitals for outpatient services, including some wound care procedures.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Payment Systems Medical Billing Medicare 59

Medisys Compliance

MARCH 14, 2023

Wound care is provided in various healthcare settings like inpatient hospital, outpatient clinics, long-term care facilities, home health settings, hospice and skilled nursing facilities. For example, patients who require ongoing wound care but do not need to be hospitalized can receive treatment in outpatient clinics.

Payment Systems 52

Payment Systems Medical Billing Medicare Medicare 52

Medisys Compliance

JANUARY 13, 2023

in American Hospital Association v. The Supreme Court ruled that because CMS did not poll hospitals to ascertain their typical medication acquisition prices, the payment cut was unlawful. This announcement follows the Supreme Court’s recent ruling to reject the CMS-implemented 340B payment cut to ASP-22.5%

Medical Billing 52

Medical Billing Medical Billing Outsourcing Hospitals Doctors 52

Medisys Compliance

MARCH 26, 2024

Place of Service (POS) Codes POS 11: Outpatient office setting POS 21: Inpatient hospital setting Modifier Codes 51: Multiple procedures performed on the same day (e.g., Holter monitor application along with an EKG) 25: Unusual procedural service (e.g., complex Holter monitor placement due to patient anatomy) Global Codes vs.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Governance Medical Billing Services 64

Medisys Compliance

FEBRUARY 5, 2024

Introduction The healthcare landscape is ever-evolving, and with it, the way medical services are delivered and billed. Ambulatory Surgery Centers (ASCs) have emerged as popular settings for various outpatient procedures, offering convenience and cost-effectiveness compared to traditional hospital stays.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

MARCH 10, 2022

For example, PCM could be appropriate for a patient with uncontrolled diabetes or uncontrolled hypertension or a high-risk patient with severe asthma who has frequent hospital readmissions. Many practices are already doing this work to take care of these patients, they just need to capture the right information so they can bill for it.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

MAY 19, 2022

The CR modifier is not required when billing for telehealth services. Hospital billing for remote visits. Hospitals can bill HCPCS code Q3014, the originating site facility fee, when a hospital provides services via telehealth to a registered outpatient of the hospital.

COVID-19 52

COVID-19 Medicare Medicare Medical Billing 52

Medisys Compliance

MARCH 19, 2024

Additional Billing Considerations In addition to mastering the core billing codes, providers must also navigate supplementary elements integral to accurate billing: Place of Service (POS) Codes: Indicating the treatment setting (e.g.,

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Health Services Administration Public Health 59

Medisys Compliance

NOVEMBER 18, 2022

Before a certain treatment, service, gadget, or drug is given to the patient in order to qualify for coverage, doctors and other healthcare professionals must acquire in advance approval from a health insurance plan (known as a “prior authorization” or “PA”) process.

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Doctors Patient Satisfaction 98

Medisys Compliance

APRIL 11, 2024

The place of service for billing also offers flexibility. You can bill for services provided in various settings, including your private practice office, hospitals, outpatient clinics, and even some telehealth platforms.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

MAY 31, 2022

Medicare coverage can start the month the beneficiary is admitted to a Medicare-approved hospital for kidney transplant or for health care services that are needed before the transplant if the transplant takes place in the same month or within the two following months.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

DECEMBER 1, 2022

New York is home to thousands of hospitals and medical facilities that serve millions of residents. Healthcare firms still need to manage a lot of monotonous and continuous administrative responsibilities like medical billing in addition to offering their patients high-quality medical care.

Medical Billing 52

Medical Billing Medical Billing Outsourcing US Department of Health and Human Services Doctors 52

Medisys Compliance

MAY 23, 2023

In an effort to address these issues, Georgia recently enacted the Patient Right to Know Act, which aims to increase transparency in medical billing and empower patients to make more informed decisions about their healthcare.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 52

Medisys Compliance

FEBRUARY 20, 2022

The service billed incident to must take place in a ‘noninstitutional setting,’ which the Centers for Medicare & Medicaid Services (CMS) defines as ‘all settings other than a hospital or skilled nursing facility.’

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Healthcare IT Today

JUNE 29, 2023

Understanding ASCs Regulatory Changes and Their Billing Practices Outpatient surgery centers (ASCs) perform many surgical procedures outside of hospitals. However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

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.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

MARCH 28, 2022

American Hospital Association (AHA) recently conducted a survey on how providers are managing prior authorizations. AHA also reported 89 percent of hospitals and healthcare organizations have seen an increase in denials and 51 percent call this increase significant.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Hospitals Medical Billing Services 52

Medisys Compliance

JUNE 6, 2023

This category includes CPT codes like, Office or other outpatient visits, new patient (CPT code range 99202-99205) Office or other outpatient visits, established patient (CPT code range 99211-99215) Office or other outpatient consultations, new or established patient (CPT code range 99241-99245) Inpatient consultations, new or established patient (CPT (..)

Medical Billing Outsourcing 40

Medical Billing Outsourcing Medical Billing Hospitals Medical Billing Services 40

Medisys Compliance

APRIL 22, 2022

This includes the extra time and work required for medication adjustments, creating a care plan, patient follow-up and more. CMS is trying to improve care for complicated PCM patients and keep them out of the hospital, and it is willing to pay physicians more to make that happen. PCM Codes Description.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Medisys Compliance

JUNE 28, 2022

Applicable healthcare providers include, RN, PharmD/RPh, RD, CDE, or MA (if within their scope of practice) and billed by the supervising physician, advanced practitioner, or hospital outpatient department. Billing Codes for Continuous Glucose Monitors (CGMs).

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

AUGUST 4, 2022

All supplies, equipment, and self-dialysis support services necessary for the effective performance of a patient’s dialysis furnished in the ESRD facility or in a patient’s home.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Payment Systems Medicare 59

Medisys Compliance

APRIL 8, 2022

POS 10 (Telehealth provided in patient’s home): The location where health services and health related services are provided or received through telecommunication technology. Newly Added Modifiers.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

AUGUST 8, 2022

For anesthesia services furnished, the A/B MAC computes time units by dividing reported anesthesia time by 15 minutes. The A/B MAC does not recognize time units for CPT code 01996(daily hospital management of epidural or subarachnoid continuous drug administration). Round the time unit to one decimal place.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Medisys Compliance

MARCH 21, 2024

Efficient billing practices play a vital role in achieving these goals. While Electronic Health Records (EHR) have become indispensable for patient management, OB/GYN practices often underutilize their full potential for billing. Introduction The ever-evolving healthcare landscape presents OB/GYN practices with continuous challenges.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Doctors Medical Billing Services 59

Medisys Compliance

JULY 13, 2022

According to a recent survey by AKASA, more than 57 percent of healthcare practices and hospitals have more than 100 open roles to fill, with one in four finance leaders needing to hire more than 20-plus employees to fully staff their revenue cycle departments. Skilled Manpower Shortage.

Medical Billing 52

Medical Billing Medical Billing Outsourcing COVID-19 Fraud 52