Medisys Compliance

MARCH 7, 2024

Adapting to these changes is essential for medical practices to maintain billing accuracy and optimize revenue streams. Challenges and Considerations While CPT code updates aim to enhance accuracy and relevance, they also present challenges for healthcare professionals, the same is true with 2024 CPT code updates.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Regulatory Compliance Compliance 59

Medisys Compliance

APRIL 16, 2024

Regularly consult reliable sources like the American Medical Association (AMA) for the latest updates. Partner with a Billing Specialist: Consider outsourcing medical billing to a qualified professional. Research industry benchmarks and present a compelling case for your value.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

OCTOBER 20, 2023

Emergency medical billing is a critical component of healthcare services, playing a pivotal role in ensuring that healthcare providers are adequately compensated for their life-saving efforts. Emerging Trends in Emergency Medical Billing The landscape of emergency medical billing is ever-evolving.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 59

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

APRIL 26, 2024

Essential Considerations for Accurate Outpatient Billing Accurate Documentation: Detailed and clear physician documentation is vital for accurate coding. Documentation should reflect the history of present illness, review of systems, medical decision-making, physical examination findings, and assessment/plan.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Medisys Compliance

MAY 15, 2024

This growth presents challenges and opportunities for mental health providers and the billing companies supporting them. Here, we explore some key trends and innovations that will shape the future of mental health billing: 1. Introduction The mental healthcare landscape is undergoing a significant transformation.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Services Medical Billing Medicaid 59

Medisys Compliance

JANUARY 24, 2024

This improved detail allows for more accurate documentation and billing, capturing the nuances of patient presentations. While these OB/GYN billing updates 2024, present challenges, they also offer opportunities for improved accuracy, research, and patient care. Struggling with OB/GYN billing complexities?

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing 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. Benefits of Partnering with Medisys With these changes on the horizon, partnering with a reputable medical billing company like Medisys , can be invaluable.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

OCTOBER 12, 2023

90847 – Family psychotherapy (with the patient present): This code is employed when a therapist conducts a session involving multiple family members with the patient present. Only use this code when the patient is physically present during the family therapy session.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Medisys Compliance

JUNE 2, 2023

As the demand for mental health services continues to rise, mental health providers face the challenge of navigating the complex world of medical billing. Medisys Data Solutions , a leading medical billing company, is here to assist mental health providers in optimizing their billing operations and maximizing revenue.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 52

Medisys Compliance

FEBRUARY 14, 2024

Introduction Urology, encompassing the urinary tract and male reproductive system, presents unique billing challenges due to its specialized procedures and ever-evolving regulations. Let’s explore into the essential knowledge for accurate and efficient billing for cystoscopy. Consider Medisys when billing for cystoscopy!!

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 52

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

MAY 30, 2024

This may be appropriate when: Fasting plasma glucose (FPG) is between 100-125 mg/dL Oral glucose tolerance test (OGTT) results in a 2-hour glucose level between 140-199 mg/dL Additional Codes: Depending on the specific presentation of the patient, other relevant codes may be used alongside the primary prediabetes code.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Public Health ADA Medical Billing 59

Medisys Compliance

JANUARY 31, 2024

Incomplete Documentation Session notes should be detailed, capturing the presenting problem, interventions, progress, and treatment plan. Billing Process Blunders Choose the correct claim form (CMS-1500 or UB-04) based on the service and beneficiary type. Facing Challenges with Medicare Billing?

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

FEBRUARY 20, 2023

GY Modifier: Service provided is Statutorily Excluded from the Medicare Program The Center for Medicare & Medicaid Services (CMS) created two modifiers that allows to distinguish between services that are statutorily excluded, or otherwise not a Medicare benefit because Medicare does not consider them ‘reasonable and necessary.’

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

FEBRUARY 28, 2023

Stay updated on regulatory changes: Stay updated on regulatory changes from organizations such as the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA). Prepare for negotiations: Be prepared to present your case for why you deserve higher reimbursement rates or better contract terms.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 52

Medisys Compliance

FEBRUARY 29, 2024

Introduction The increasing adoption of virtual care in primary care presents an exciting opportunity to improve patient access to care while offering greater flexibility for providers. However, navigating the small details of billing for these services can be challenging.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Informed Consent Medical Billing Medicare 59

Medisys Compliance

MAY 7, 2024

This is where a dedicated mental health billing service can make a world of difference, offering substantial benefits that can help providers reduce stress and regain valuable time to focus on patient care. Here’s where a mental health billing service can be a game-changer.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance HIPAA 59

Medisys Compliance

JULY 24, 2023

There are three key elements of the history to consider when selecting a coding level: History of Present Illness (HPI), Review of Systems (ROS), and Past, Family, and Social History (PFSH). History of Present Illness (HPI): The HPI includes specific elements that aid in determining the coding level.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Compliance Medicare 52

Medisys Compliance

FEBRUARY 13, 2024

90847: Family psychotherapy (with client present), 50 minutes This code covers family therapy sessions where the client actively participates for 50 minutes. CPT is a registered trademark of the American Medical Association. Identify family members involved and their roles in the session. All rights reserved.

Medical Billing Outsourcing 69

Medical Billing Outsourcing Informed Consent Medical Billing Compliance 69

Medisys Compliance

MARCH 21, 2024

Introduction The ever-evolving healthcare landscape presents OB/GYN practices with continuous challenges. 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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Doctors Medical Billing Services 59

AIHC

JANUARY 5, 2022

Starting January 1, 2022, the No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers.

Medical Billing 52

Medical Billing Health Insurance Hospitals Medicare 52

Medisys Compliance

FEBRUARY 20, 2022

The physician must be physically present in the office suite and the services provided must be commonly performed in the physician’s office. If the criteria are met, the service should be billed under the physician’s national provider number (NPI) and the practice receives 100 percent of the physician’s fee schedule for the service.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Med Law Blog

MAY 1, 2023

As you might expect from a federal investigation, conducted by politicians with media present, the tone of the meeting was more hostile rather than supportive. We saw that issue up close last year as the committee considered the role of PE firms in the increase of patients receiving surprise medical bills.”

Nursing Homes 52

Nursing Homes Malpractice Hospitals Nurses 52

Health Populi

SEPTEMBER 5, 2018

98% of Americans rank paying their medical bills is an important pain point in their patient journey, according to Embracing consumerism: Driving customer engagement in the healthcare financial journey , from Experian Health. Beyond the physical and emotional pain that people experience when they become a patient, in the U.S.

Health Insurance 63

Health Insurance Medical Billing Medicaid Medicaid 63

Health Care Law Brief

NOVEMBER 9, 2021

By way of background, the No Surprises Act and its implementing regulations provide new federal protections against surprise medical billing. 1] See, e.g., Centers for Medicare & Medicaid Services Fact Sheet, “Requirements Related to Surprise Billing; Part II Interim Final Rule with Comment Period (September 20, 2021) at [link].

Medical Billing 75

Medical Billing Due Diligence Compliance Patient Satisfaction 75

Medisys Compliance

FEBRUARY 26, 2024

Episode-based billing extends this concept by encompassing a broader range of services and encounters over a defined period, often including pre-procedure assessments, the procedure itself, post-procedure follow-up care, and any associated complications or readmissions.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Patient Satisfaction Medicaid 59

Medisys Compliance

MAY 10, 2024

Introduction The ever-changing landscape of healthcare presents unique challenges for mental health providers. Complex regulations, intricate coding requirements, and the specific nuances of mental health services all contribute to a billing environment fraught with complexities.

Medical Billing 59

Medical Billing Medical Billing Outsourcing HIPAA Medical Billing Services 59

Medisys Compliance

MARCH 13, 2024

For instance, if a patient presents with a mental health concern and also requires medication management, Modifier 25 would be appended to the E/M code to indicate the distinct nature of the evaluation.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medical Billing Services Compliance 59

Medisys Compliance

APRIL 5, 2024

Introduction Accurate billing for Myocardial Perfusion Imaging (MPI) is crucial for cardiologists and medical billing specialists alike. Medisys , a leading provider of accurate cardiology billing services, presents this comprehensive guide to ensure you receive proper reimbursement for MPI procedures.

Medical Billing 64

Medical Billing Medical Billing Outsourcing Medicare Medicare 64

Medisys Compliance

JANUARY 31, 2022

The good news is that despite these challenges, dialysis providers can sustain strong cash flow, reduce costs, and mitigate denials by outsourcing their revenue cycle operations to the medical billing company, Medisys Data Solutions. A reliable medical billing company.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicare Medicare 52

Health Law RX

SEPTEMBER 27, 2023

Yet the arguments that continue to be presented before the courts are that the rules being implemented favor payors over providers, with no mention of the patients. The patients, the providers, and the payors all should be working together to put a system in place that functions for everyone and not to the detriment of anyone.

Medical Billing 52

Medical Billing Hospitals Medicaid Medicaid 52

Hall Render

MARCH 3, 2023

NATIONAL 14 rural senators push CMS to extend low-wage hospitals’ payment bump in FY2024 American Hospital Association voices support for telehealth expansion bill Behavioral health market to hit $262B by 2029 Biden administration moves to establish ‘guardrails’ for telehealth prescriptions CMS Officials Confirm End of PHE Nursing (..)

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

AUGUST 19, 2022

‘The unwinding’: Idaho Medicaid must recheck eligibility for 131K people when U.S. Collapse of private equity-backed Missouri hospitals mired employees in medical bills. Eastern New Mexico Medical Center names Adelane Kelly CFO and Kyle Stepp assistant CEO. Failed Medicaid expansion negotiations reveal N.C.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

FEBRUARY 25, 2022

AI in Healthcare Presents Need for Security, Privacy Standards. Banner Fort Collins Medical Center designated as Level 4 Trauma Center. Why some Medicaid providers in Colorado aren’t getting paid. Children’s Hospital Colorado child life programs help ease stress and anxiety of medical experiences. NORTH CAROLINA.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

FEBRUARY 18, 2022

Colorado Health Care Workers Now Included In Anti-Doxxing Bill. Colorado mental health professionals incensed after Medicaid forum that was intended to clear the air. 5 Things Colorado: Health bills, Nursing home funding, Naloxone access. New TGH behavioral health hospital coming to Tampa’s Medical District. MISSISSIPPI.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

JUNE 7, 2024

million bird flu shots to U.S. million bird flu shots to U.S.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Hospitals Nursing Homes 40