Medisys Compliance

APRIL 8, 2024

Strategies to Accelerate Medical Billing and Enhance Cash Flow Accuracy at the Forefront Clean Patient Demographics: Ensure accurate and up-to-date patient information like name, address, insurance details, and date of birth during check-in. Incorrect information can lead to claim rejections and delays.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

APRIL 23, 2024

missing information, coding errors) and have a clear process for appealing denials with proper documentation. Strengthen Patient Communication and Collections Enhance Transparency: Provide patients with clear estimates of their out-of-pocket costs before services are rendered. Understand the reason for each denial (e.g.,

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 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. MACRA regulations are subject to change.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medicare Medicare 64

Medisys Compliance

FEBRUARY 19, 2024

Additional Considerations In-network vs. out-of-network billing: Understand the differences in reimbursement rates, patient responsibility, and billing procedures for in-network and out-of-network claims. Medicare and Medicaid billing: These programs have specific regulations and coding requirements for group therapy billing.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

JANUARY 9, 2024

Stay informed and implement them promptly to avoid denials. By putting these tips into action, small healthcare providers can overcome the challenges of medical billing and achieve claim acceptance rates that rival larger organizations. Stay compliant with regulations: Healthcare regulations change frequently.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

APRIL 1, 2024

Patient Consent: Ensure patients have consented to receiving telehealth services and understand potential billing implications. Maximizing Reimbursement for Telehealth Services Stay Informed: Keep yourself updated on the latest telehealth billing regulations from Medicare, Medicaid, and private insurers.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing COVID-19 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. Documentation accuracy: Accurate and complete documentation is vital for billing compliance.

Medical Billing 52

Medical Billing Medicaid Medicaid Telemedicine 52

Medisys Compliance

MAY 3, 2024

Here’s a breakdown of the key sections: Patient Information: This section verifies the patient’s name, policyholder information, and date of service. Patient Responsibility: This section clearly shows the amount the patient owes for the service after applying for insurance benefits.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

APRIL 11, 2024

Familiarizing yourself with current telehealth billing guidelines established by CMS is essential to ensure proper reimbursement. Getting Started and Resources Available Several valuable resources can help you navigate the transition to direct billing. Subscribing to CMS updates can ensure you remain current on any modifications.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

JANUARY 11, 2024

Audits: Increased scrutiny from Medicare and Medicaid for potential coding discrepancies. Proper medical terminology and abbreviations. Regulatory Landscape Medicare and Medicaid regulations change frequently, demanding constant adaptation. Failure to keep up can result in: Incorrect billing practices lead to denials and audits.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

NOVEMBER 8, 2023

Introduction In recent years, the healthcare landscape has witnessed a significant shift towards telehealth services, and the field of mental health is no exception. This article will serve as a comprehensive guide to mental health telehealth billing, addressing the key aspects, regulations, and best practices for mental health providers.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Medisys Compliance

OCTOBER 18, 2023

This diagnostic test records the electrical activity of the heart and provides valuable information about its function and any potential abnormalities. The interpretation and report of the EKG is an integral part of cardiovascular diagnostics, helping healthcare providers make informed decisions regarding patient care.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 59

Medisys Compliance

MARCH 7, 2024

Significance of Annual Updates The dynamic nature of healthcare necessitates regular updates to CPT codes to reflect advancements in medical technology, evolving clinical practices, and changes in healthcare regulations.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Regulatory Compliance Compliance 59

Medisys Compliance

MARCH 15, 2024

Link test to medical necessity: Ensure the RIA test aligns with the patient’s diagnosis and treatment plan. Partner with a reliable billing company like Medisys to stay informed. Medisys: Your Partner in Urology Billing Medisys understands the complexities of urology billing and coding, including RIAS.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

APRIL 24, 2024

The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that safeguards the privacy of individuals’ health information, including mental health and substance abuse treatment records. It also established national standards for protecting individuals’ protected health information (PHI). What is HIPAA?

HIPAA 59

HIPAA Compliance Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

JANUARY 30, 2023

HIPAA: The Health Insurance Portability and Accountability Act( HIPAA) is a federal law that establishes the national standards for protecting the privacy and security of individuals’ personal health information ( PHI). Data Security: Data security is an increasingly important compliance issue for the medical billing industry.

Compliance 52

Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

Medisys Compliance

FEBRUARY 5, 2024

Data analytics: Data analytics can provide valuable insights into ASC billing patterns and identify areas for improvement. This information can be used to optimize billing practices and ensure accurate reimbursement for PCPs.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

JULY 11, 2022

The prohibitions on balance billing and cost-sharing protections vary among providers depending on the type of services they furnish and their practice settings. Plans and issuers and providers and facilities must implement certain measures to improve the accuracy of provider directory information.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Health Insurance Medicaid 52

Medisys Compliance

JUNE 22, 2022

Centers for Medicare & Medicaid Services (CMS) is discontinuing Certificates of Medical Necessity (CMNs) and DME Information Forms (DIFs) effective January 1, 2023. Originally, CMS required the CMN and DIF forms to help document medical necessity and other coverage criteria for selected DME.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Medisys Compliance

APRIL 28, 2024

Here’s how it works: Data Collection: NLP systems are trained on vast datasets of radiology reports and their corresponding billing codes. Information Extraction: Using advanced algorithms, NLP identifies key entities from the report, such as anatomical locations, diagnoses, and procedures performed.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Regulatory Compliance Compliance 64

Medisys Compliance

APRIL 15, 2024

Introduction The world of medical billing can be complex, and urology is no exception. The good news is that staying informed about the latest Current Procedural Terminology (CPT) code updates can help ensure your practice receives proper reimbursement for services rendered.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 64

Medisys Compliance

DECEMBER 23, 2022

The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. As a result, adjustments to the PFS over time may cause a physician’s final payment for the same service to change.

Medicare 98

Medicare Medicare Medical Billing Medical Billing Outsourcing 98

Medisys Compliance

FEBRUARY 29, 2024

Capture Patient Consent: Document the patient’s informed consent for receiving care via telehealth services. Address Patient Concerns: Be prepared to address any patient inquiries regarding billing for virtual care services, fostering open communication.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Informed Consent Medical Billing Medicare 59

Medisys Compliance

JULY 10, 2023

This article aims to provide a comprehensive guide to modifiers for mental health billing, exploring their definitions, purposes, and relevant keywords. Modifiers are codes or symbols used to provide additional information about a service or procedure performed by healthcare providers. What are Modifiers?

Medical Billing Outsourcing 52

Medical Billing Outsourcing Licensing Doctors Medicare 52

Medisys Compliance

JANUARY 24, 2024

Introduction OB/GYN billing is transforming in 2024, with two impactful changes set to reshape how practices operate and get reimbursed. 2 Major OB/GYN Billing Updates 2024 1. By providing more precise information about diagnoses and procedures, researchers can gain deeper insights into health trends and develop better interventions.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 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. CMS Announcement for Revised Coverage. Receive a written order for lung cancer screening with LDCT.

Medicare 97

Medicare Medicare Medical Billing Medical Billing Outsourcing 97

Medisys Compliance

APRIL 22, 2024

These can streamline coding for common procedures, ensure proper claim submission for urology services, and track denied claims for efficient follow-up. Stay Informed on Payer Policies: Regularly review payer manuals and updates to stay abreast of specific coverage guidelines and coding requirements for urology procedures.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

NOVEMBER 1, 2023

Some of the most common errors include incorrect coding, missing information, and duplicate charges. Common errors of charge entry in medical billing Incorrect coding is a prevalent error in charge entry. If a healthcare provider uses the wrong code to bill for a service, the claim may be denied or delayed.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

FEBRUARY 20, 2023

Healthcare providers often get confused about the appropriate use of modifiers GA, GX, GY, and GZ while billing Medicare. Modifier GX can be combined with modifiers GY and TS (follow up service) but will be rejected if submitted with the following modifiers: EY, GA, GL, GZ, KB, QL, and TQ.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

MAY 7, 2024

Develop clear documentation procedures for staff to ensure all necessary information is captured during patient interactions. Explore Outsourcing Billing Services: For practices overwhelmed by administrative tasks, outsourcing billing services can be a viable option.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

NOVEMBER 6, 2023

This checklist outlines the key steps to achieve and maintain compliance: Patient Information Accuracy Verify that the patient’s name, date of birth, address, insurance information, and other demographic data are accurate and complete. Accurate patient information is the foundation of proper billing.

Compliance 59

Compliance Medical Billing Outsourcing Medical Billing ACA 59

Medisys Compliance

JULY 11, 2023

Understand and Comply with Regulatory Requirements Radiation oncology providers must stay up-to-date with the ever-changing regulatory landscape to ensure compliance with billing rules and regulations. Keep track of updates, policy changes, and reimbursement rates to avoid billing errors and potential audits.

Medical Billing 40

Medical Billing Medical Billing Outsourcing Compliance Medicaid 40

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 13, 2024

When family members are involved, utilize specific code modifiers (-96, -97) and submit detailed clinical documentation demonstrating medical necessity. Remember, billing for less than 53 minutes under this code or submitting vague documentation can lead to claim denials.

Medical Billing Outsourcing 69

Medical Billing Outsourcing Informed Consent Medical Billing Compliance 69

Medisys Compliance

FEBRUARY 7, 2024

Practice Management Strategies to Improve TOS Collections Before the Appointment Transparency is Key: Before the appointment, provide patients with estimated charges based on their insurance plan and expected services. Verification Matters: Ensure accurate insurance information and confirmed coverage details.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

JANUARY 21, 2024

Introduction The mental health omnibus bill, recently passed by Congress, marks a significant milestone in improving access to mental healthcare in the United States. Understanding the Bill and its Implications The mental health omnibus bill encompasses a multitude of provisions aimed at bolstering mental health resources and services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

JANUARY 30, 2024

The complex, ever-changing landscape of medical billing complicates this endeavor, often leading to claims denials, inefficiencies, and delayed reimbursements. This is where the concept of radiology billing outsourcing emerges as a potential solution. But simply understanding the term isn’t enough.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Compliance Medical Billing Services 59