Beyond the Code: Rethinking Integrity in Risk Adjustment Article Reference Code: NAMAS.09.25.2026 Written By: Alexis Isom CPC, CPMA, CRC, CHONC, AAPC Approved Instructor For many healthcare professionals, today’s conversations surrounding Medicare Advantage risk adjustment are increasingly shaped by a news cycle of RADV audits, Department of Justice (DOJ) settlements, Office of Inspector General (OIG) findings,…
CEU Burnout: Making Required Education Actually Valuable Article Reference Code: NAMAS.09.18.2026 Written by: Victoria Vo, CPC-M CPCD, CIC, CFPC, COC, CPMA, CPC, CPRC, CRC, CPC-I Continuing education renewals are an important part of maintaining your professional knowledge and credentials. We know our renewal dates. We put them on our calendars. We get the reminder emails.…
Rewriting Internal Guidelines: What We Kept, What We Killed Article Reference Code: NAMAS.09.11.2026 Written by: Stephanie Thebarge, CPC, CPCO, CPMA, CPPM, CPB, CEMC, CHONC In my line of work, I’m always looking at the bigger picture. As auditors and compliance professionals, we spend our days identifying risk, questioning processes, and challenging assumptions. One phrase, however,…
Auditing from the Trenches: Spotting OIG Red Flags Before the Feds Do Article Reference Code: NAMAS.09.04.2026 Written by: Dannilla Morgan, CPC, CBCS The modern auditing landscape has shifted dramatically, moving far away from the days of manual, randomized chart selections driven by simple bad luck or an isolated patient dispute. Today, the Office of Inspector…