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. As your dedicated medical billing and coding partner, Medisys is here to support you every step of the way.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

DECEMBER 19, 2024

Podiatrists provide essential care for foot and ankle conditions, but the complexities of podiatry billing often create administrative burdens. From managing CPT codes for procedures like nail debridement and wound care to ensuring compliance with Medicares podiatry-specific guidelines, the billing process can be confusing.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Medicare Medicare Compliance 105

HIT Consultant

MARCH 16, 2023

Jim Collins, President of Medicare MSO Physicians need to keep their billing and coding right to ensure seamless reimbursements from payers. In addition, running a successful medical practice is a daunting task as the providers need to stay updated with the industry guidelines. American Medical Association.

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Medical Billing Medicare Medicare Nurses 98

HIPAA Journal

APRIL 8, 2022

Advanced Medical Practice Management Sends Notification Letters About July 2021 Cyberattack and Data Theft Incident. The New Jersey medical billing administrator, Advanced Medical Practice Management (AMPM), has recently announced it was the victim of a cyberattack that involved the data of several of its healthcare provider clients.

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Medical Billing Licensing Health Insurance Medicaid 132

Healthcare IT Today

FEBRUARY 22, 2023

There’s widespread consensus that payments to Medicare Advantage Organizations (MAOs) are a mess. These programs, which care for more than 30 million of the nearly 64 million Medicare enrollees , operate on the cutting edge of health care and suffer serious problems in data collection and billing.

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Medicare Medicare Overpayment Overpayments 113

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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Medicare Medicare Medical Billing Medical Billing Outsourcing 97

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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Medicare Medicare Medical Billing Medical Billing Outsourcing 98

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

DECEMBER 30, 2024

The healthcare industry is ever-evolving, and managing administrative tasks like medical billing has become increasingly complex. Many healthcare providers now outsource medical billing services to specialized companies. What Does It Mean to Outsource Medical Billing Services?

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Medical Billing Services Medical Billing Medical Billing Outsourcing Regulatory Compliance 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

MRO Compliance

JANUARY 16, 2025

To address these gaps, the Centers for Medicare & Medicaid Services (CMS) now mandates the use of FHIR-based APIs for data sharing. Navigating the No Surprises Act Unexpected medical bills remain a significant pain point for patients. These efforts align with CMS initiatives while fostering long-term member loyalty.

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Overpayments Overpayment Regulatory Compliance Patient Satisfaction 130

Medisys Compliance

FEBRUARY 13, 2025

However, the financial health of your practice hinges significantly on efficient and accurate medical billing. In the complex world of healthcare administration, cardiology medical billing stands out as particularly challenging. When to Consider Cardiology Billing Services? Is Outsourcing Right for You?

Medical Billing 59

Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 59

Medisys Compliance

APRIL 23, 2024

Introduction In today’s ever-evolving healthcare landscape, efficient and accurate medical billing is of highest priority for a practice’s financial health. Utilize resources from the Centers for Medicare & Medicaid Services (CMS) and your local healthcare associations. Medisys can help!

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Medical Billing Medical Billing Outsourcing Medicare Medicare 59

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.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Fraud 59

Compliancy Group

JANUARY 3, 2024

One of the most common ways for providers and healthcare organizations to run afoul is to incorrectly or illegally bill and code for services or supplies. No matter the intent, noncompliance in medical billing can have severe consequences. It pays to know the law and avoid temptations to cut corners.

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Medical Billing Compliance ACA Health Insurance 52

Medisys Compliance

OCTOBER 27, 2023

Introduction In the complex world of healthcare in the United States, small medical practices often face the challenge of managing their medical billing effectively. The term ‘medical billing for small practices’ encompasses a wide array of topics that are crucial for these healthcare providers.

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Medical Billing Medical Billing Services Medical Billing Outsourcing Medicaid 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.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

APRIL 22, 2024

Introduction Urology practices face unique challenges in medical billing due to the intricate nature of procedures and specific coding requirements. Understanding Urology Billing The core principles of medical billing remain the same for urology.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Medisys Compliance

APRIL 8, 2024

Introduction In the complex world of healthcare administration, optimizing medical billing processes is crucial for ensuring prompt payments and financial stability. Understanding the Importance of Medical Billing Medical billing serves as the backbone of revenue generation for healthcare practices.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Patient Satisfaction 59

Healthcare IT Today

SEPTEMBER 24, 2023

Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School. Nearly three in four (72%) patients say affordability is the biggest challenge to paying larger healthcare bills , according to a survey from Cedar.

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Medical Billing Department of Veterans Affairs Medicare Medicare 97

Medisys Compliance

JULY 27, 2023

Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. This helps maintain compliance and reduce errors.

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Medical Billing Telemedicine Medicaid Medicaid 52

Compliancy Group

JULY 18, 2024

Billing errors alone are causing significant financial losses for the healthcare industry, on the order of $935 million per week. consistently hemorrhaging money through wasteful practices, more healthcare organizations are opting to use third-party medical billing companies to reduce the chance of errors within their billing operations.

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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.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medicaid Medicaid Medical Billing 59

Healthcare IT Today

FEBRUARY 23, 2023

Streamline the billing process The right RCM partner will help providers optimize revenue by creating faster, easier processes to identify insurance coverage. As Medicare Beneficiary Identifiers (MBIs) only relate to Medicare coverage, providers need tools that will go beyond MBIs and caps from payer searches.

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Medical Billing Patient Satisfaction Medicare Medicare 141

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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Medical Billing Outsourcing Medical Billing Compliance Patient Satisfaction 59

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

APRIL 8, 2025

This article explores the key aspects of psychiatric billing, common challenges, and how outsourcing psychiatric billing services can help private practices, therapists, and mental health professionals streamline their revenue cycle management. Contact us today to learn how we can optimize your revenue cycle!

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Medical Billing Medical Billing Outsourcing Compliance HIPAA 59

Medisys Compliance

NOVEMBER 1, 2023

Effective medical billing is essential for healthcare organizations to maintain financial stability and ensure accurate reimbursement. One critical aspect of the medical billing process is accurate charge entry. Common errors of charge entry in medical billing Incorrect coding is a prevalent error in charge entry.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

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.

Medicare 59

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.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

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.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

Medisys Compliance

APRIL 28, 2023

About Medisys Data Solutions Medisys Data Solutions is a reputable medical billing company that has been providing reliable and efficient medical billing services in Ohio for several years. Our professional services include everything from billing and coding to claims management and denial management.

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Medical Billing Services Medical Billing Medical Billing Outsourcing Medicare 52

Medisys Compliance

APRIL 25, 2025

Pathology comes with its own unique set of operational complexities, particularly when it comes to medical billing. Accurately coding and billing for specimen analysis, diagnostic interpretations, and laboratory tests requires specialized knowledge that goes beyond standard medical billing practices.

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Medical Billing Outsourcing Medical Billing Compliance Medicare 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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Medicare Medicare Medical Billing Outsourcing COVID-19 59

Medisys Compliance

APRIL 29, 2025

Cardiology coding is a highly specialized area of medical billing that demands deep understanding of cardiovascular procedures, diagnostic services, and corresponding coding systems. CMS (Centers for Medicare and Medicaid Services): For NCCI edits and Medicare coding policies.

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Medical Billing Outsourcing Medical Billing Compliance Medicare 59

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

AUGUST 1, 2023

Efficient medical billing and coding are crucial for healthcare providers in North Carolina (NC) to ensure timely reimbursements and maintain a sustainable revenue stream. However, navigating the complexities of medical billing can be a daunting task, diverting valuable time and resources away from patient care.

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