September 9, 2021 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT Never in our lifetime have we encountered a more controversial subject than the daily buzz we hear from co-workers, news networks, social media, and the like related to COVID-19. While most of us are not sitting in a front-line environment (anymore), we…
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September 28, 2021 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT The mechanics of auditing can, of course, be acquired through a training course; but then when you find yourself in certain audit roles, you may recognize the lack of experience within skills briefly mentioned during that training. So, how do you work…
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October 5, 2021 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT As an auditor, we must expand our skill sets to include a myriad of specialties in which we have expertise. Over the years, I have learned my strengths and certainly learned my weak areas to stay away from. When I trained as…
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October 12, 2021 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT 2021 AMA guidance indicates that a general systemic symptom such as fever should not be considered a systemic system, but not all fevers fall in this category. The question typically posed is: what is the “magic” range that identifies it as no…
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October 15, 2021 | By Michele Stevens If your facility and/or practice is providing infusion, hydration, and injection services they should be included in your annual compliance auditing plans to ensure proper coding guidelines are being followed and documentation education is not necessary to assist with any loss of revenue gaps. Infusion, hydration, and…
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October 8, 2020 | By Nicholas Goodwin, Esq. With all of the data breaches and stories about identity theft, it’s easy to get numb to all of the bad news and scary stories. After all, how can identity theft really affect my family? The answers might surprise you! First, the identity theft “crisis” isn’t any…
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October 1, 2021 | By Grant Huang, CPC, CPMA A year and half into the coronavirus pandemic, confusion still remains over a variety of remote services that are often lumped into the same category as telehealth but have their own unique codes and billing guidelines. CMS has given them the somewhat unwieldy label of…
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September 24, 2021 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC Sean Weiss, DoctorsManagement Partner and Vice President of Compliance recently sat down with Ronald Chapman II, Esq. LLM of The Chapman Law Group to discuss and break down the Biden-Harris Executive Order and its impact on approximately 100 million American…
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September 15, 2021 | By Stephanie Allard, CPC, CEMA, RHIT I am looking forward to the NAMAS 13th Annual Auditing and Compliance Conference at the Wyndham Grand Clearwater Beach on December 5th through 8th! This year, I am excited to be a part of the E&M Auditing track on Tuesday, December 7th and…
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September 10, 2021 | By Jesse Overbay, JD By now, most health systems, practices, and providers should know that the Office of Inspector General (“OIG”) has been stressing the importance of creating and abiding by a compliance plan since the passage of the patient Protection and Affordable Care Act in 2010. In its own…
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