Article Reference Code: NAMAS.09.26.2025 Coders vs. Auditors: A Lighthearted Look at Life on Both Sides Written by: Dawson Ballard As someone who’s been on both sides of the fence—as a coder and now an auditor—I’ve come to appreciate the unique role each plays in the world of reimbursement. Both have their perks (and their pitfalls),…
Article Reference Code: NAMAS.09.19.2025 Translating Operative Reports into Audit Readiness Written by: Toni Elhoms Auditing surgical services is one of the most complex and high-stakes areas of healthcare compliance. Surgeries are typically high-dollar claims, ripe for coding errors, clinical documentation gaps, and regulatory scrutiny. One misstep can trigger denials, repayment demands, fraud allegations, or even…
Article Reference Code: NAMAS.09.12.2025 How Proper Use of Taxonomy Codes Prevents Denials and Ensures Compliance Written by: Matt Kolinski, MD In the complex world of healthcare administration, accuracy and compliance are paramount. One of the most overlooked yet essential elements in this process is the use of taxonomy codes. These unique, standardized identifiers play a…
Article Reference Code: NAMAS.09.05.2025 Redefining Optimization: When Compliance and Reimbursement Work Together Written by: Shannon DeConda Not long ago, phrases like “optimize your coding” or “optimize your reimbursement” were standard language in consulting, auditing, and coding departments. They were on the front page of slide decks, on conference banners, and in strategy meetings with leadership.…