I Code It One Way. My Peer Codes It Another. Now What? Article Reference Code: NAMAS.04.24.2026 Written by: Cristin Robinson CPC, CPMA, CCC, CRC, CEMC In today’s healthcare environment, coding is no longer a one‑size‑fits‑all process. Two experienced professionals can review the same medical record and arrive at different coding conclusions—both believing they are correct. With…
Risky Language: Facet Joint Injection Denials Article Reference Code: NAMAS.04.17.2026 Written by: Robin Sewell CCS, CDIP, CPC, CIC, CCDS I recently reviewed a handful of RAC denials for Medical Necessity of facet joint procedures. Interestingly, the denials mainly focused on one single bullet in the Local Coverage Determination (LCD) Facet Joint Interventions for Pain Management. Namely,…
The Phrase That Pays: Problem Addressed vs. Problem Listed Article Reference Code: NAMAS.04.10.2026 Written by: Keisha Wilson, CHC, CCS, CPC, CPCO, CPMA, CRC, CPB, AAPC Approved Instructor A Compliance, Coding, and Documentation Perspective For decades, the 1995 and 1997 Evaluation and Management (E/M) Documentation Guidelines trained us to audit based on “quantity”, counting body systems, history…
The Hidden Compliance Risk Sitting Inside Your Templates Article Reference Code: NAMAS.04.03.2026 Written by: Toni Elhoms, CCS, CPC, CPMA, CRC, CEMA Documentation templates earned their place in healthcare because they brought consistency to clinical documentation, reduced omissions, and made it possible to keep up with a clinical pace that does not slow down just because the…