UNSCRIPTED | The Auditors’ Summer Series

Host: Shannon DeConda
Panelists: Christine Hall, Betty Hovey, Toni Elhoms
Description:
It’s time to stop saying “just document more” and start teaching physicians how to document smarter. This rebooted approach to Medical Decision Making (MDM) breaks down how to educate providers on the why behind MDM scoring, using the 2021 CPT® guidelines and the AMA MDM grid. This session focuses on translating the auditor’s lens into a language providers understand.

Learning Objectives:

• Interpret the CPT® MDM grid through an educator’s lens.

• Identify documentation gaps in problems, data, and risk.

• Translate audit findings into meaningful teaching points.

• Use real-world examples and prompts to reinforce understanding.

Host: Betty Hovey
Panelists: Scott Kraft, Doris Branker
Description:
This session explores 2024 CMS guidance on Split/Shared visits, focusing on defining the “substantive portion,” documentation expectations, and billing ownership when both a physician and NPP contribute to the visit.

Learning Objectives:

• Summarize current CMS Split/Shared rules and updates.

• Differentiate between time-based and MDM-based billing.

• Evaluate documentation examples for compliance.

• Spot common pitfalls that may result in errors or denials.

Host: Toni Elhoms
Panelists: Maya Turner, Brenda Edwards, Shannon DeConda
Description:
This session addresses the risks of overused and misused EMR templates. From copy/paste MDM to default-filled ROS, we’ll identify where the software ends and true provider documentation begins.

Learning Objectives:

• Identify documentation risks caused by templating.

• Evaluate examples for signs of default, copy/paste, and unsupported time attestations.

• Understand how templating affects coding and audit defensibility.

• Coach providers on personalizing documentation.

Host: Toni Elhoms
Panelists: Scott Kraft, Allyson Woolard
Description:
Talking to providers after an audit can be the toughest part. This session dives into how to handle pushback, resistance, and defensiveness with real dialogue techniques, tone shifts, and reframing strategies.

Learning Objectives:

• Recognize resistance behaviors during audit feedback.

• Differentiate between misunderstanding, fear, or habit.

• Apply communication strategies to maintain professionalism.

• Center feedback on shared goals like clarity of care.

Host: Betty Hovey
Panelists: Maryann Palmeter, Christine Hall, Victoria Vo
Description:
From Modifier 25 overuse to “just write 40 minutes” myths, this session busts bad billing advice that’s gone viral. You’ll walk away with tools to set the record straight for your team.

Learning Objectives:

• Identify misinformation spreading online.

• Explain risks associated with unverified advice.

• Debunk myths with confident, compliant education.

• Promote a culture of evidence-based teaching.

Host: Christine Hall
Panelists: Maya Turner, Maryann Palmeter
Description:
Dive into real-life examples of HCC denials, RADV audits, and risk-adjustment documentation fails. This session gives educators and auditors the language to teach defensible HCC documentation.

Learning Objectives:

• Explain how HCCs affect RAF scores and payments.

• Identify documentation pitfalls leading to denials.

• Understand the RADV audit process.

• Guide providers to document HCCs with specificity and compliance.

Host: Shannon DeConda
Panelists: Scott Kraft, Colleen Gianatasio
Description:
This session explores how AI fits into compliance and audit workflows—what to use, what to avoid, and how to stay current without burning out.

Learning Objectives:

• Debunk common AI myths in compliance spaces.

• Safely use AI to support audits and education.

• Evaluate AI-generated content for reliability.

• Manage tech fatigue with realistic adoption strategies.

Host: Christine Hall
Panelists: Laidy Diana Martinez, Kimberly Jolivette Williams, Allyson Woolard, Brenda Edwards,Victoria Vo
Description:
This roundtable focuses on career growth, burnout, mentorship, and community. Hear real stories and join the new NAMAS Mentorship Match-Up initiative.

Learning Objectives:

• Identify signs of burnout and compassion fatigue.

• Describe mentorship’s role in growth and sustainability.

• Share stories to deepen peer learning.

• Engage in peer support beyond the CEU.