Medisys Compliance

APRIL 8, 2024

Transparent Billing Statements: Provide clear and understandable billing statements that detail services rendered, associated charges, and insurance information. Partnering with a Medical Billing Service Outsourcing medical billing to a dedicated service can be highly beneficial for practices with limited resources.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

JANUARY 9, 2024

So ditch the denials and let Medisys handle the billing, while you focus on what you do best – delivering exceptional patient care. By partnering with Medisys, you can eliminate administrative headaches, optimize your revenue cycle, and watch your cash flow soar.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

JUNE 14, 2023

Limited staffing and financial resources can hinder effective revenue cycle management and impede the adoption of advanced billing technologies. To overcome this challenge, healthcare providers can consider outsourcing their billing processes to professional medical billing services.

Medical Billing 52

Medical Billing Medical Billing Services Medical Billing Outsourcing Regulatory Compliance 52

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.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

FEBRUARY 27, 2024

Key regulations include the Health Insurance Portability and Accountability Act (HIPAA), the Stark Law, the Anti-Kickback Statute, and regulations set forth by the Centers for Medicare & Medicaid Services (CMS) and private payers. Trust Medisys for comprehensive radiology billing services tailored to your needs.

Compliance 59

Compliance 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.

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 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

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

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

APRIL 18, 2022

In October 2021, the Center for Medicare and Medicaid Innovation (CMMI) announced a goal of having every Medicare beneficiary and the majority of Medicaid beneficiaries covered by some type of alternative payment model (APM) by 2030. Incentives for Medicaid clinicians who also treat Medicare patients. APMs Overview.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 52

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

MARCH 15, 2024

Contact Medisys today at 888-720-8884 / info@medisysdata.com to learn more about our urology billing services and how we can help your practice thrive.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

MARCH 7, 2024

To learn more about our medical coding services, contact us at 888-720-8884 / info@medisysdata.com References: American Medical Association (AMA) Official Website Centers for Medicare & Medicaid Services (CMS) Official Website The post Navigating the 2024 CPT Code Updates appeared first on Leading Medical Billing Outsourcing Services Company in (..)

Medical Billing 59

Medical Billing Medical Billing Outsourcing Regulatory Compliance Compliance 59

Medisys Compliance

MAY 4, 2023

Outsourcing oncology medical billing to a trusted third-party service provider like Medisys Data Solutions can help streamline the billing process, reduce errors, and improve revenue cycle management.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 52

Medisys Compliance

FEBRUARY 21, 2024

Failure to Comply with Coding Guidelines: It’s essential to adhere to coding guidelines established by the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), and other relevant regulatory bodies.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medicaid 59

Medisys Compliance

OCTOBER 18, 2023

Following are some practical tips to help you streamline your billing and coding processes for this important procedure code: Stay Updated with Coding Guidelines: Regularly review the latest coding guidelines and updates from reliable sources such as the American Medical Association (AMA) and the Centers for Medicare and Medicaid Services (CMS).

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 59

Medisys Compliance

JUNE 20, 2022

Medisys Data Solutions is a leading medical billing company providing complete assistance in medical billing and coding functions for Medicare, Medicaid, government and private payers. In case any assistance needed for Medicare medical billing services, contact us at info@medisysdata.com/ 302-261-9187.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

DECEMBER 29, 2023

To learn more about our cardiology billing services, contact us at 888-720-8884 / info@medisysdata.com The Current Procedural Terminology (“CPT®”) copyright © 2023 American Medical Association. CPT® is a registered trademark of the American Medical Association. All rights reserved.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

FEBRUARY 5, 2024

With Medisys as your billing partner, you can streamline your billing processes, maximize your revenue, and allow you to focus on delivering exceptional patient care.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicaid Medicaid 59

Medisys Compliance

NOVEMBER 17, 2023

At the forefront of this shift is the Primary Care First Model, a voluntary alternative payment model introduced by the Centers for Medicare & Medicaid Services (CMS). The healthcare landscape is undergoing a dynamic transformation, driven by a growing emphasis on value-based care and patient-centered outcomes.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Medisys Compliance

JANUARY 30, 2023

Medicare and Medicaid: Medicare and Medicaid are government-funded healthcare programs that provide coverage to millions of Americans. Violations of the False Claims Act can result in significant financial penalties, including fines and exclusion from government healthcare programs.

Compliance 52

Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

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.

Medicare 97

Medicare Medicare Medical Billing Medical Billing Outsourcing 97

Medisys Compliance

MARCH 14, 2023

Under both payment systems, wound care is reimbursed based on the type of service provided, the complexity of the wound, and the geographic location of the clinic. Home Health Medicare and Medicaid are two of the largest insurance providers for home health services, and they have specific guidelines for wound care reimbursement.

Payment Systems 52

Payment Systems Medical Billing Medicare Medicare 52

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. The rules don’t apply to people with coverage through programs like Medicare, Medicaid, Indian Health Services, Veterans Affairs Health Care, or TRICARE.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Health Insurance Medicaid 52

Medisys Compliance

MAY 19, 2022

The federal government, state Medicaid programs, and private insurers have expanded coverage for virtual health care services. During the COVID-19 public health emergency, any health care provider who is eligible to bill Medicare can bill for telehealth services regardless of where the patient or provider is located.

COVID-19 52

COVID-19 Medicare Medicare Medical Billing 52

Medisys Compliance

JUNE 28, 2022

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 20, 2022

If a health care provider currently provides ambulatory health care services such as vaccines, lab tests or other clinic type visits to people with Medicare, then they are eligible to participate in this initiative. People with Medicaid coverage can also get COVID-19 vaccines, including boosters, at no cost.

COVID-19 52

COVID-19 COVID-19 Vaccine Medical Billing Medicare 52

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. The internet is ringing with the news of the CMS Updates Final rule for the 2023 Medicare Physician Fee Schedule.

Medicare 98

Medicare Medicare Medical Billing Medical Billing Outsourcing 98

Medisys Compliance

JULY 27, 2022

In addition, the ACA amended Section 1833(b)(1) of the Act to waive the Part B deductible for screening colonoscopies, which includes moderate sedation services as an inherent part of the screening colonoscopy procedural service. These provisions are effective for services furnished on or after January 1, 2011.

Medical Billing 52

Medical Billing Medical Billing Outsourcing ACA Medicare 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.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Medisys Compliance

APRIL 28, 2024

Introduction Radiology practices face a constant challenge: accurately translating complex medical procedures into standardized codes for billing purposes. Natural Language Processing (NLP) is emerging as a game-changer in radiology billing, offering significant improvements in efficiency, accuracy, and revenue capture.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Regulatory Compliance Compliance 64

Medisys Compliance

FEBRUARY 20, 2023

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

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

JULY 10, 2023

Compliance with Coding Guidelines: Understanding and correctly applying modifiers ensures compliance with coding guidelines, such as those set by the American Medical Association (AMA) and the Centers for Medicare and Medicaid Services (CMS). Compliance promotes consistency and accuracy in mental health billing practices.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Licensing Doctors Medicare 52

Medisys Compliance

MARCH 5, 2024

Introduction Cardiology billing presents unique challenges due to evolving regulatory landscapes, complex coding requirements, and the constant scrutiny of payer audits. This article explores into the details of cardiology billing, offering insights into payer audits and reimbursement challenges in cardiology billing.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medical Billing Compliance Governance 105

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