NAMAS humbly began as a educator and certifying body in medical auditing in 2007 and quickly grew into the noted resource for all medical auditing and compliance needs. Our team and faculty work hard to bring you membership resources, products, tools, and training that is not only timely and specific to medical auditing and compliance, but also that is specific to the needs of medical practices today. NAMAS staff are industry recognized experts who provide audits and consulting services to active clients which gives NAMAS the cutting edge to provide relevant training.
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September 29, 2023 | By Grant Huang, CPMA, CPC If you’ve never heard of principal care management (PCM) or chronic care management (CCM) services before, you’re not alone. Medicare introduced these new benefits for Part B beneficiaries in 2021 and 2022, respectively, but the agency’s own utilization data shows that adoption has been fairly…
September 22, 2023 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT Let’s get uncomfortably honest. With continued reimbursement cuts, like this year’s $9-12k per provider E/M cut, organizations cannot sustain 100% coding validation. Now, let’s get brutally honest. This is compounded by a lack of truly skilled and knowledgeable coders looking to fill the…
September 15, 2023 | By: Edward Baker, Of Counsel | Lieff Cabraser Heimann & Bernstein If you lie awake at night worrying about whether your coding, auditing, or compliance practices might be based on misinterpretations of federal law, opening up your healthcare employer—or yourself!—to treble damages and penalties under the False Claims Act (FCA), you may…
You may have seen a couple of recent Documentation and Compliance Tips published on the NAMAS blog authored by health law attorneys who have had some opinions regarding Incident To and Shared Visits in the office/clinic space. These opinions do somewhat contradict how we have taught Incident To service and Split Shared service in place…
September 8, 2023 | By David Glaser Can you do a “shared visit” in a physician clinic, site of service 11? The most common answer seems to be “no,” and while that is technically correct, it is so misleading that it is effectively entirely wrong. To understand this confusion, we need to dig into…
March 24, 2023 | By Jennifer McNamara, CCS, CPC, CDEO, CPMA, CRC, COSC, CGSC, COPC, AAPC Approved Instructor | CEO, Healthcare Inspired, LLC One modifier that often raises eyebrows and questions is Modifier 62. This modifier can impact reimbursement and compliance, making it a focal point for audits by the Office of Inspector General…
