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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You know, sometimes, as coders and auditors, we’re the last ones to know about new things that come into the office, but sometimes we should be the first. This past week I got an e-mail from a friend (who is also a client and NAMAS member) who said their office received a new type of…
August 12, 2022 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC Self-audits are critical. They demonstrate compliance, or at least a “good-faith effort” to be compliant; they minimize refunds of overpayments to “actuals” and also mitigate the potential for a multiple being added. Most importantly, they prevent an auditor, agent, or…
August 5, 2022 | By Michele Strickland, CPC, CEMA Incident-To is often discussed in coding and compliance circles, but when reviewing encounters, I routinely find the criteria fails to meet or support the billing of non-physician practitioners (NPPs) and/or other clinical staff (auxiliary). There are two types of Incident-To services; a component of the service…
Strategic Litigation Services | CEMA Certification | Audit Services Details of the Case From Expert Witness Sean M. Weiss Recently, Sean M. Weiss with NAMAS’ parent company DoctorsManagement testified as an expert witness in a federal court case against four healthcare providers in one of the largest Medicare/Medicaid fraud cases in U.S. history. Read below as Sean…
April 22, 2022 | By Grant Huang, CPMA, CPC You’ve taken the time to complete a painstaking audit of a provider, combing through their documentation on an EHR or maybe even navigating through a handful of handwritten notes. You’ve calculated their score – it doesn’t look too good – and now it’s time for…
The 2023 AMA documentation guidelines hit us on June 30th -and I’ve had a chance to read through them. I want to remind you that while we have the AMA changes, we don’t yet have the final rule from CMS. We don’t know how CMS is going to process all of these changes. As you’re…
