Author - Abhijit

Revised Billing Guidelines for PA/NP Billing

Revised Billing Guidelines for PA/NP Billing

CMS recently introduced guideline changes to its Medicare reporting rules that impact physician assistant (PA) and nurse practitioner (NP) billing. These changes could require practices to modify how they report split/shared services. Previously, shared services were frequently reported in [...]

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Coding Guidelines for Allergy Testing

Coding Guidelines for Allergy Testing

Running an allergy practice can be exhausting and as allergy coding offers unique set of challenges. The key to establishing and maintaining an active, financially thriving allergy practice lies in a thorough understanding of the current reimbursement system and [...]

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Anesthesia Payment at Personally Performed Rate

Anesthesia Payment at Personally Performed Rate

In this article, we shared billing guidelines for anesthesia payment at personally performed rate and calculation of anesthesia time units. We referred Medicare billing guidelines from Medicare claims processing manual chapter 12.50 i.e., payment for anesthesiology services. You can [...]

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Revised Updates for Renal Dialysis Billing

Revised Updates for Renal Dialysis Billing

Proposed ESRD Payment System The Centers for Medicare & Medicaid Services (CMS) on June 21, 2022, issued a proposed rule that proposes to update payment rates and policies under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal [...]

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Basic Tips for Medicare Enrollment Process

Basic Tips for Medicare Enrollment Process

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 [...]

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Medicare Guidelines for Laser-Assisted Cataract Surgery Billing

Medicare Guidelines for Laser-Assisted Cataract Surgery Billing

We are sharing Medicare guidelines for laser-assisted cataract surgery billing from a last updated CMS document. We shared this document as it was published, to avoid any error while billing for laser-assisted cataract surgery. As per CMS Ruling 05-01, [...]

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Reduced Co-Insurance for Screening Colonoscopies

Reduced Co-Insurance for Screening Colonoscopies

As per the update dated 29th April 2022, CMS reduced the coinsurance for certain screening flexible sigmoidoscopies and screening colonoscopies. This special coinsurance applies regardless of the code you bill for the establishment of a diagnosis as a result [...]

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Appropriate & Inappropriate Use of Modifiers 59 & XE/XP/XS/XU

Appropriate & Inappropriate Use of Modifiers 59 & XE/XP/XS/XU

Definition of Modifier 59 The CPT Manual defines modifier 59 as Distinct Procedural Service: Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M (Evaluation/Management) services performed on the [...]

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