What’s on the Horizon for CY 2026 in the Medicare PFS? Article Reference Code: NAMAS.11.14.2025 Written by: Rachel V. Rose, JD, MBA It’s that time of the year when the focus of healthcare providers, insurers and health care claims clearinghouses begins to heighten because January 1 is on the horizon, which means potential changes to the…
Article Reference Code: NAMAS.10.31.2025 Auditing Infusion in 5 steps Written by: LaDonna Brown Each audit has specific considerations. To begin, conduct thorough initial research to establish a solid foundation for subsequent steps. Key research areas should include reviewing current payer policies and recent regulatory changes. Additionally, familiarize yourself with emerging trends in infusion services and…
Article Reference Code: 10.17.2025 Written by: Christine Hall When the government shuts down, it’s not just national parks and passport offices that feel the pinch; it’s also your webcam, your telehealth platform, and the patients who depend on virtual access to care. As of October 1, 2025, Congress failed to pass a Continuing Resolution (CR)…
Article Reference Code: NAMAS.10.03.2025 Auditing Preventive Services in 5 Steps Written by: Anna M. McGregor Preventive healthcare plays a crucial role in maintaining patient well-being, reducing long-term healthcare costs, and identifying risks before they escalate into acute illnesses. Within the U.S. healthcare system, preventive services are emphasized through programs such as the Medicare Annual Wellness…
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…