Medisys Compliance

FEBRUARY 19, 2025

Billing Update: Medicare Radiology Reimbursement Cuts 2025 Effective January 2025, radiology practices nationwide are facing reduced Medicare reimbursements due to finalized changes in the Physician Fee Schedule. Now, in February 2025, these proposed rules are our current reality. Here are key steps you can take: 1.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

JANUARY 23, 2025

This article provides a comprehensive overview of telehealth mental health billing updates for 2025, addressing key questions, coding changes, and regulatory updates that impact billing practices. Will Medicare Stop Paying for Telehealth in 2025? CPT codes are essential for billing telehealth services accurately.

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Medical Billing Outsourcing Medicare Medicare Medical Billing 59

Medisys Compliance

OCTOBER 1, 2022

Navigating through the complex medicare guidelines can be a complex and overwhelming task, however, here is the good news, the entire process is merely about using the right CPT codes. However, one needs to be careful while billing as Medicare follows strict rules and regulations for time increments.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 98

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. If you need any assistance in billing for Medicare, contact us at info@medisysdata.com/ 302-261-9187.

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Medisys Compliance

JANUARY 16, 2025

Behavioral health providers play a critical role in addressing mental health challenges, but navigating the complexities of billing can be daunting. The Centers for Medicare & Medicaid Services (CMS) provides comprehensive behavioral health billing guidelines, which can be overwhelming due to their technical nature and breadth.

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Medisys Compliance

MAY 22, 2025

Why Urgent Care Billing Needs Specialized Attention Urgent care billing may seem similar to family medicine or internal medicine billing on the surface, but in reality, it has its own set of challenges: High volume, fast-paced workflow: Most urgent care visits are walk-ins, often requiring immediate eligibility checks and on-the-spot coding.

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Medisys Compliance

JUNE 17, 2025

As the healthcare landscape continues to evolve, 2025 brings significant updates that directly impact optometry billing. From Medicare reimbursement cuts to expanded prior authorization requirements and new CPT codes, optometry practices need to stay informed and agile. for 2025, down from $33.29

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Medical Billing 59

Medisys Compliance

APRIL 21, 2025

Thats why understanding the ins and outs of medical billing for physical therapy is critical not just for compliance, but also for sustaining your business. For example, therapeutic exercise (97110) is a timed code, while hot/cold pack therapy (97010) is untimed and billed only once per session.

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Medical Billing Medicare Medicare Medical Billing Outsourcing 59

Medisys Compliance

DECEMBER 23, 2022

The internet is ringing with the news of the CMS Updates Final rule for the 2023 Medicare Physician Fee Schedule. The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. Medicare reimbursement for telehealth services. Principles of PFS.

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Medisys Compliance

JUNE 22, 2025

A general billing team can easily miss critical details, leading to denials, underpayments, or compliance risks. That’s why oncology practices across the country turn to specialized billing companies with deep domain expertise. Contact us today and let’s get started with a no-obligation consultation.

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Medisys Compliance

DECEMBER 24, 2024

Medicare Reimbursement Medicare covers teletherapy under specific guidelines: Eligible Providers: Includes licensed clinical social workers (LCSWs), clinical psychologists, and other licensed professionals. Understanding payer-specific policies is essential for timely reimbursement.

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Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Medisys Compliance

JUNE 16, 2025

References: Frequently Asked Questions about Billing Medicare for Behavioral Health APA Guidelines for the Practice of Telepsychology The post Mental Health Insurance Billing: A Guide for Therapists and Practice Owners appeared first on Leading Medical Billing Outsourcing Services Company in the USA.

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Medisys Compliance

MARCH 21, 2025

But behind every effective treatment plan is the challenge of accurate documentation and billing. One of the most important concepts for physical therapists and practice owners to grasp is physical therapy billing units. Under this rule: You must provide at least 8 minutes of a timed service to bill one unit.

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Medical Billing Outsourcing Compliance Medicare Medicare 59

Medisys Compliance

MARCH 19, 2025

ICD-10 codes, on the other hand, establish the medical necessity for these procedures, indicating the patient’s diagnosis or the reason for the radiological examination. For instance, a specific ICD-10 code might be required to demonstrate the medical necessity for an advanced imaging study like a PET scan.

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Medisys Compliance

DECEMBER 30, 2024

Medicare: Pays based on the Medicare Physician Fee Schedule (e.g., $85$130 Billing for Cognitive Behavioral Therapy for Insomnia CBT for Insomnia (CBT-I) is a specialized form of therapy that has gained traction. Q2: Can I bill for CBT and E/M services on the same day? On average: Private Pay Rates: $100$200 per session.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

MAY 21, 2025

But in your world – the world of physical therapy (PT) – therapy billing means something very different. Add to this the fact that billing for PT involves time-based services, Medicare-specific rules, and therapy modifiers, and youve got a recipe for confusion. So lets cut through that noise.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicare Medicare Medical Billing 59

Medisys Compliance

MAY 25, 2025

Payer-Specific Documentation Requirements: Private payers and Medicare often require precise documentation for coverage decisions, especially for high-value molecular tests or repetitive panels. Use of Modifiers: Modifiers like 26 (Professional Component) and TC (Technical Component) are frequently used in clinical pathology billing.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 52

Medisys Compliance

APRIL 15, 2025

Need for Specialized Skills: Effective medical billing services in USA require a deep understanding of coding guidelines, payer regulations, claim processing, and denial management expertise that not all healthcare providers or their staff possess. Partnering with billing companies in USA provides access to this specialized knowledge.

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Medical Billing Medical Billing Services Medical Billing Outsourcing Compliance 59

Medisys Compliance

JUNE 3, 2025

This content is provided without reference to billing codes or copyrighted materials and is intended to help behavioral health practices strengthen compliance and financial performance. To learn more about how Medisys can help your practice improve Medicaid behavioral health billing performance, get in touch with us today.

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Medicaid Medicaid Medical Billing Outsourcing Compliance 66

Medisys Compliance

JANUARY 30, 2025

For expert assistance in radiology billing, including insurance verification, consider partnering with a trusted medical billing company.

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Medisys Compliance

JUNE 15, 2025

Why Cardiology Practices Outsource Medical Billing Given the specificity of cardiovascular coding and billing, many practices choose to outsource cardiology medical billing services to experts. Please verify all codes and descriptions using official sources before use.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Compliance 59

Medisys Compliance

JANUARY 9, 2025

Cardiologists and their billing teams must be familiar with these new codes to ensure accurate billing and reimbursement for these procedures. CPT is a registered trademark of the American Medical Association. All CPT codes referenced in this article are copyrighted content.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

JULY 15, 2024

Introduction As an internal medicine practitioner, staying updated with the latest Medicare billing changes is crucial for maximizing reimbursements and ensuring compliance. In 2024, several significant updates have been introduced that directly impact the billing processes for internal medicine.

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Medicare Medicare Medical Billing Outsourcing COVID-19 59

Medisys Compliance

APRIL 8, 2022

In this article, we briefly discussed these Medicare telehealth billing guidelines. CMS has finalized certain services added to the Medicare telehealth services list will remain on the list through December 31, 2023.This To know more about our Telehealth billing services, contact us at info@medisysdata.com/ 302-261-9187.

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Medisys Compliance

JANUARY 31, 2024

Introduction Understanding the details of Medicare coding and claims submission can be daunting for anyone. While accurate billing ensures fair reimbursement and uninterrupted patient care, billing mistakes can have significant consequences, leading to financial losses, claim denials, and even penalties.

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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. Prepare for a Medicare Audit. Responding to an Audit Request.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

JUNE 7, 2022

Defining Medicare Secondary Payer (MSP). Medicare Secondary Payer (MSP) is the term generally used when the Medicare program does not have primary payment responsibility i.e., when another entity has the responsibility for paying before Medicare. When Medicare Pays First. Primary payers must pay a claim first.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Medisys Compliance

SEPTEMBER 29, 2022

Your medical billing outsourcing partner takes care of the same in a hassle-free manner. ICD-10, CPT, and HCPCS coding certification training for medical billing and coding software. Understanding of insurance policy rules, particularly those relating to Medicare. Wrapping up. What are you waiting for?

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Medical Billing Outsourcing Medical Billing Medicare Medicare 98

Medisys Compliance

JULY 5, 2022

What is Medicare Overpayment? A Medicare overpayment exceeds regulation and statute properly payable amounts. When Medicare identifies an overpayment, the amount becomes a debt a healthcare provider owes the federal government. Based on this new information, CMS takes action to recover the mistaken Medicare payment.

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Overpayments Overpayment Medicare Medicare 52

Medisys Compliance

JULY 19, 2024

Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. This article discusses the latest changes, providing a comprehensive guide to navigating the evolving billing landscape. All rights reserved.

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Medisys Compliance

JULY 25, 2022

Recently published watchdog report found that private Medicare plans routinely rejected claims that should have been paid and denied services that reviewers found to be medically necessary. For detailed understanding we shared observations of OIG where they found that some of the claims were wrongly denied by private Medicare plans.

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

Medisys Compliance

AUGUST 1, 2022

Medicare enrollment is the first step towards becoming Medicare provider or supplier. CMS has shared complete process flow chart for successful Medicare enrollment. Being leading medical billing company, Medisys Data Solutions helped lots for providers and suppliers in successful Medicare enrollment.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

FEBRUARY 24, 2025

Understanding modifier application can optimize your group therapy billing. Reimbursement rates for CPT code 90853 in group therapy billing vary significantly. Factors influencing reimbursement include the payer type ( Medicare , Medicaid, commercial insurance), geographic location, and specific contract agreements.

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Medical Billing Outsourcing Medical Billing Medical Billing Services Medicaid 59

Medisys Compliance

MAY 7, 2025

Helpful Resources for Cardiology Coders For continued education and compliance, cardiology billing teams should regularly consult: AMA CPT Resources: For official CPT code updates and guidelines. CMS (Centers for Medicare and Medicaid Services): For NCCI edits and Medicare coding policies.

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Medical Billing Medical Billing Services Medical Billing Outsourcing Compliance 59

Medisys Compliance

MAY 31, 2022

End-Stage Renal Disease (ESRD) is a medical condition in which a person’s kidneys cease functioning on a permanent basis leading to the need for a regular course of long-term dialysis or a kidney transplant to maintain life. Beneficiaries may become entitled to Medicare based on ESRD. Medicare Secondary Payer (MSP).

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Medisys Compliance

MAY 5, 2022

On 22 nd April 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare enrollment and eligibility rules that would expand coverage for people with Medicare and advance health equity. Sections 120 and 402 of the CAA made two key changes to Medicare enrollment rules.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

Medisys Compliance

JUNE 10, 2022

Medicare covers limited chiropractic services when performed by a chiropractor who is licensed or legally authorized to furnish chiropractic services by the State or jurisdiction in which the services are furnished. In this article, we shared coding guidelines and Medicare coverage for Chiropractic Manipulative Treatment (CMT).

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