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

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

MAY 27, 2024

Introduction For gastroenterology professionals, navigating the complexities of medical billing can be a daunting task. However, mastering GI billing is crucial for ensuring timely reimbursements and maximizing your practice’s revenue. outpatient facility, hospital). 59 for distinct procedural service).

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 59

Medisys Compliance

MARCH 26, 2024

However, navigating the complexities of Holter monitor billing can be a time-consuming and error-prone process. Medisys Data Solutions (MDS) , a leading medical billing company, understands these challenges. This guide explains basis of Holter monitor billing, empowering cardiology providers to optimize their revenue cycle.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Governance Medical Billing Services 64

Medisys Compliance

JUNE 28, 2022

Medicare Coverage for Continuous Glucose Monitors (CGMs). On December 28, 2021, the Centers for Medicare & Medicaid Services (CMS) published a final rule in the Federal Register that addressed the classification and payment of continuous glucose monitors (CGMs) under the Medicare Part B benefit for durable medical equipment (DME).

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

APRIL 26, 2024

office, hospital outpatient department). Common POS codes for primary care include 11: Office; 20: Outpatient hospital. Essential Considerations for Accurate Outpatient Billing Accurate Documentation: Detailed and clear physician documentation is vital for accurate coding.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

APRIL 20, 2022

We shared billing update for free COVID-19 tests and second free booster dose in detail in this article. Medicare to Cover Over-the-Counter COVID-19 Tests. People with Medicare can get up to eight tests per calendar month from participating pharmacies and health care providers for the duration of the COVID-19 public health emergency.

COVID-19 52

COVID-19 COVID-19 Vaccine Medical Billing Medicare 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

MAY 30, 2022

These regulations are the basis for Medicare guidelines. There is no specific Medicare-approved form for PCS. Regardless of the form you choose to use, the information on the form must comply with Medicare guidelines. Note: Medicare requires that services provided/ordered be authenticated by the author.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

AUGUST 30, 2024

Understanding the minor details of anesthesiology billing for pain management is crucial for healthcare providers who want to optimize their revenue cycle and maintain compliance with ever-evolving regulations. Medical Necessity: Establishing medical necessity is critical for securing reimbursement.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicaid 59

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., office, hospital outpatient), POS codes play a pivotal role in determining reimbursement rates.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Health Services Administration Public Health 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

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

JULY 18, 2022

In the Balanced Budget Act of 1997, Congress mandated that payment for the majority of services provided to beneficiaries in a Medicare covered SNF stay be included in a bundled prospective payment made through the Part A Medicare Administrative Contractor (MAC) to the SNF. This practice created several problems. To summarize.

Medical Billing 52

Medical Billing Medicare Medicare Medical Billing Outsourcing 52

Medisys Compliance

FEBRUARY 20, 2022

Note that, incident-to services are only applicable to Medicare. Incident-to services are only applicable for charges billed to a Medicare contractor. You will have to verify with each private insurance carrier on how to bill for services performed by an NPP. Billing Requirements for ‘Incident-to’ Services.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

AUGUST 12, 2022

CMS recently introduced guideline changes to its Medicare reporting rules that impact physician assistant (PA) and nurse practitioner (NP) billing. Chapter 12 of the Medicare Claims Processing Manual no longer includes an office/clinic example. Reference: Medicare Claims Processing Manual Chapter 12.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medicare Medicare Nurses 52

Medisys Compliance

JUNE 20, 2023

Billing CPT 95250 and CPT 95251 is a crucial aspect of medical billing for healthcare providers who offer diabetes self-management education and training (DSMT). physician office, hospital outpatient department).

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

MARCH 31, 2023

Determine the Provider Type Ohio Medicaid has different provider types, including Individual practitioners, group practices, Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), Hospitals, and Home health agencies. When enrolling in Ohio Medicaid, providers must determine which of these provider types they fall under.

Medicaid 52

Medicaid Medicaid Licensing Medical Billing Outsourcing 52

Medisys Compliance

APRIL 5, 2023

A nerve block injection involves injecting medication directly into the nerves to reduce inflammation and relieve pain. The injection is typically performed in an outpatient setting, such as a doctor’s office or a hospital. Is CPT 64625 Covered by Medicare? CPT code 64625 is covered by Medicare.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

MARCH 21, 2024

Contact us today to learn more about how we can help your practice thrive with integrated billing solutions. The post Maximizing OB/GYN Billing Efficiency through EHR Integration appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Doctors Medical Billing Services 59

Medisys Compliance

APRIL 17, 2023

Insurance Coverage for Diabetes Care Insurance coverage for diabetes care is critical, as it enables patients to access necessary medical care and supplies to manage their condition. There are several types of insurance plans available including private insurance, Medicare, and Medicaid.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing ADA Medicaid 52

Medisys Compliance

APRIL 7, 2023

Modifier 95 is recognized by Medicare and some other payers, but not all payers recognize this modifier. This modifier was used prior to the creation of Modifier 95 and is no longer required by Medicare, but some other payers may still require it. appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Medical Billing 52

Medical Billing Medical Billing Outsourcing COVID-19 Medicare 52

Medisys Compliance

MARCH 27, 2023

These terminologies are briefly discussed below for better understanding: Provider enrollment: This refers to the process of enrolling a healthcare provider with an insurance plan or government program, such as Medicare or Medicaid. appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

Malpractice 52

Malpractice Medical Billing Outsourcing Governance Patient Satisfaction 52

Medisys Compliance

FEBRUARY 9, 2024

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. The Centers for Medicare & Medicaid Services (CMS) issues annual updates to the OPPS payment rates and co-payment amounts.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Payment Systems Medical Billing Medicare 59

Medisys Compliance

AUGUST 4, 2022

The Centers for Medicare & Medicaid Services (CMS) on June 21, 2022, issued a proposed rule that proposes to update payment rates and policies under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to Medicare beneficiaries on or after January 1, 2023.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Payment Systems Medicare 59

Medisys Compliance

MAY 9, 2022

These modifiers are required to be used for therapy services furnished by providers that submit institutional claims, including the provider types: outpatient hospitals, rehabilitation agencies, skilled nursing facilities, home health agencies and comprehensive outpatient rehabilitation facilities (CORFs).

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

APRIL 22, 2022

In the Medicare Physician Fee Schedule final rule issued in November 2021, the Centers for Medicare and Medicaid Services (CMS) added four new CPT codes (99424, 99425, 99426, and 99427) in the category of Principal Care Management (PCM) to replace the two previous PCM codes (HCPCS codes G2064 and G2065). PCM Codes Description.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

AUGUST 8, 2022

In this article, we shared billing guidelines for anesthesia payment at personally performed rate and calculation of anesthesia time units. We referred Medicare billing guidelines from Medicare claims processing manual chapter 12.50 Reference: Medicare Claims Processing Manual Chapter 12.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare Medicare 52

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. Outsource Medical Billing. Most small practice owners, handle medical billing all by themselves.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Hospitals 52

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. Absence of eligibility and benefits verification.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Hospitals Medical Billing Services 52