Article Reference Code: NAMAS.07.11.2025 Understanding Coding, Documentation, and Common Pitfalls in Moderate Sedation Services Written by: Aimee Wilcox Moderate (conscious) sedation is an important component in enhancing patient comfort and cooperation during various medical and dental procedures. It is a drug-induced state during which patients remain conscious and able to respond to verbal instructions but…
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Understanding New Audio-Only and Brief Telehealth E/M Codes: Documentation, Compliance, and Medicare Guidelines Written by: Gabriel Aponte Moberg The audio-only codes 98008 through 98015 require more than ten minutes of synchronous, real-time verbal communication. These services may be selected based on either total time or medical decision-making (MDM). Each code corresponds to specific MDM levels and…
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Billing Compliance Conflict? Navigate It with Confidence Billing Instructions Raising Concerns? Here’s a Pro-Level Playbook Written by: Toni Elhoms | Alpha Coding Experts In the complicated world of pay-and-chase healthcare reimbursement, medical billing is not just a back-office support function, but rather a regulatory landmine for healthcare organizations! From Stark Law to the False Claims Act…
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Are You Billing Ancillary Staff Correctly? Avoid Costly Errors Ancillary or Reimbursable? Why the Distinction Matters More Than Ever Written by: Sean Weiss | DoctorsManagement, LLC One of the biggest issues I address weekly for clients and law firms across the country is the use of “ancillary staff” vs. “reimbursable providers”. In the current environment, ensuring…
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Why Medical Claims Auditors Should Embrace Autonomy for Non-Physician Qualified Providers Embracing Provider Autonomy: A Smarter Approach to Medical Claims Auditing Written by: Jeana M. Singleton, Esq. | Brennan, Manna & Diamond, LLC As the U.S. healthcare landscape continues to evolve, so too must the perspectives of those who safeguard its financial integrity, including those working…
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