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Monthly Archives: January 2020

2021 E&M Changes – Diagnoses in the MDM

2021 E&M Changes, E/M Coding & Auditing, Pam VanderbiltBy NAMASJanuary 31, 2020

  January 31, 2020 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O     The year 2021 will bring significant changes to how we determine the level of evaluation and management services in the outpatient setting. We will no longer score history and exam elements, instead focusing on medical decision making or…

Auditor Opportunities

Compliance, E/M Coding & Auditing, Frank Cohen, Procedural Coding & Auditing, Revenue Cycle ManagementBy NAMASJanuary 24, 2020

January 24, 2020 | By Frank Cohen, Director of Analytics and Busines Intelligence     The first thing to note is that I am not an auditor. So, for me to write an article on auditing tips might seem a bit out of place. But this is not an article on auditing compliance but rather…

Practice Financial Policy

Compliance, Revenue Cycle Management, Sean WeissBy NAMASJanuary 17, 2020

  January 19, 2020 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC   Welcome to 2020! It is my hope that all of you had a great holiday season and New Year and are well-rested and ready to take on the challenges of this new year head-on and armed with the necessary…

The Importance of Skepticism

David Glaser, E/M Coding & Auditing, ICD-10, Payer RulesBy NAMASJanuary 10, 2020

  January 10, 2020 | By David Glaser     Skepticism is a vital trait in the coding and billing process. Constant questioning is necessary because when you receive guidance from consultants and contractors it may be both clear and categorical, but it’s possible that upon objective review, you will realize it is also cockamamie. For…

New Behavior Assessment & Intervention Services

E/M Coding & Auditing, Shannon DeCondaBy NAMASJanuary 8, 2020

  January 8, 2020 | By Shannon DeConda, CPC, CPC-I, CEMC, CMSCS, CPMA     It is truly amazing to finally begin to see new reimbursement opportunities for services that providers have given for years without compensation. One such area is in a new code set this year for Behavior Assessment & Intervention. This code…

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