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NAMAS MEDICAL AUDITING AND COMPLIANCE

If You Could, Would You Modify Your Career Path?

CareerBy NAMASMay 31, 2024Leave a comment

May 31, 2024   |   By: Ginger with NAMAS Many of us indulge in the nostalgic game of “if I knew then what I know now” when reflecting on our past decisions. But what about our career paths? As we navigate our professional journeys, it’s natural to wonder: If you could go back and modify it,…

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Facing the Giant: Strategies for Conquering Daunting Payer Audits

Compliance, Payer Rules, Practice ManagementBy NAMASMay 24, 2024Leave a comment

May 24, 2024   |   By: Lindsey Chatelain, CPC, CRC If you have ever been the subject of a payer audit, you know it can be daunting.  Not only does it delay payment and increase the number of records requests your staff has to process, but getting off the audit is also difficult. It is achieved only…

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Analyzing the Auditing of Psychotherapy

Compliance, CPT, Practice Management, Procedural Coding & Auditing, Revenue Cycle ManagementBy NAMASMay 10, 2024Leave a comment

May 10, 2024 | By: LaDonna D. Brown CPC, CPMA, CEMA   When I was asked if I would like to be a contributor to NAMAS May articles, my first thought was absolutely. This is particularly timely as May is Mental Health Awareness Month, a crucial period for coders and auditors to reflect on the importance…

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Collaborative Care: Mental Health in Primary Care

2023 AMA Updates, Evaluation & Management: 2021 & BeyondBy NAMASMay 3, 2024Leave a comment

May 3, 2024 | By J. Paul Spencer, CPC, COC Primary care providers are increasingly becoming gatekeepers to mental and behavioral health care. This is due partly to increased awareness in the medical field of the overall health effects brought about by mental illness, as well as the addition of CPT codes for reimbursement that…

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Telehealth Fact Sheet and E/M Tips for 2024: REVISED 02.2024

Compliance, TelehealthBy NAMASMay 1, 2024Leave a comment

Updated 02-09-2024 | By: Terry A. Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM   As we all know the PHE, public health emergency, ended on May 11th, 2023, but the confusion on how to report Telehealth services continues to live on. When Medicare published their Final Rule last November…

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Recent Posts
  • Auditing Moderate (Conscious) Sedation Services
  • Auditing the AMA’s New Telemedicine Evaluation and Management (E/M) Codes: 98000–98016
  • Billing Battles: What to Do When Billing Instructions Don’t Add Up
  • Ancillary Staff vs. Reimbursable Providers: Navigating CMS and Commercial Payor Rules
  • Why Medical Claims Auditors Should Embrace Autonomy for Non-Physician Qualified Providers
  • CCM Under the Microscope: Are Your Providers Documentation-Ready?
  • Before You Bill Incident To—Is the Treatment Plan Really There?
  • Prescription Drug Management Requires More Than a Medication List
  • Non-Medically Necessary vs. Statutorily Excluded Services: Understanding the Differences
  • Prevention of Patient Complaints and Payer Denials: Covered vs Non-Covered Preventive Services
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