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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December 9, 2022 | By Rachel Rose, JD, MBA Overview Although it is said that “business is global”, there are some nuances to this blanket statement to consider when creating, receiving, maintaining, or transmitting electronic protected health information or electronic health information (herein the blanket term “PHI” is used) internationally.[i] Before delving into items…
December 2, 2022 | By Jill Young, CPC, CEDC, CIMC While listening to the virtual AMA CPT/RBRVS Annual Symposium lecture by Gift Tee, BS, MPH, Director of the Division of Practitioner Services in the Hospital and Ambulatory Policy Group (HAPG) of CMS on the Update from Centers for Medicare and Medicaid Services (CMS), I…
Tough topics and gray guidelines are what we like to cover in these “Takes,” and this one is no exception. Independent Historian did get cleared up somewhat with 2021 guidelines, but there are still some nuances there. 2021 guidelines did bring about a definition for Independent Historian. It cleared up some of that grayness that…
November 25, 2022 | By Grant Huang, CPMA, CPC It’s been two years since CMS collaborated with the AMA to revamp Evaluation & Management (E&M) coding guidelines, including a rework of prolonged services codes in the office/outpatient setting. This process culminated in a disagreement between the AMA’s CPT manual and CMS’ fee schedule final…
As we begin the new year and our focused training for the 2023 E&M changes and revisions, I’d like to encourage everyone to refocus their efforts on column three of medical decision-making. The header of column three is very specific, and it’s wordy. I think sometimes we fail to notice that because we’re stuck in…
November 18, 2022 | By Rhonda Buckholtz, Owner, Coding and Reimbursement Experts Determining risk is important for having an effective compliance program. Policies need to be developed to your specific needs. Depending on your specialty, your geographic area, your risk areas, etc. For example, yours might be diagnostic testing, modifiers, emergency evacuations, ASC rules,…
