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NAMAS MEDICAL AUDITING AND COMPLIANCE

2021 E&M Overview Webinar Review

2021 E&M Changes, E/M Coding & AuditingBy NAMASMay 19, 2020

Leave the Tylenol at home — you won’t need it for this webinar! What a refreshing webinar this is- not only in this extraordinary season we are currently in, doesn’t make us feel lost, or hanging without help. Shannon Deconda presents in a way that even the beginners of us, to the most experienced, are…

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Finding the Positive in the New Normal- Walking Early into 2021 E&M Changes

2021 E&M Changes, COVID-19, E/M Coding & Auditing, Kari KellerBy NAMASMay 29, 2020

May 29, 2020 | By Kari M Keller, CCS, CPC, CPMA, CEMA, CIRCC, CPC-I, CCDS-O | Senior Manager Coding Quality, Inova Health System Those who know me best know that I am an absolute optimist. I can find the positive in almost everything. So, what has this stay-at-home order impacted? We slowed our lives down. We…

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Telehealth Exam Documentation

Compliance, Payer Rules, Scott KraftBy NAMASJune 5, 2020

June 5, 2020 | By Scott Kraft, CPMA, CPC During the rapid pivot to telehealth services during the COVID-19 pandemic, one of the biggest priorities has been staying on top of the array of CMS and private payer rules to ensure these services were payable. These rules included the clear need in most instances for…

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2021 E&M Changes: Defining the Differences

2021 E&M Changes, E/M Coding & Auditing, Grant HuangBy NAMASJune 19, 2020

June 19, 2020 | By Grant Huang, CPC, CPMA       The hype surrounding next year’s implementation of new guidelines for documenting and coding Evaluation & Management (E&M) services has revolved around the virtual elimination of the history and physical exam as key components of code selection. But some of the lesser-known changes involving…

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Understanding the Global Obstetrical Package

E/M Coding & Auditing, Grant HuangBy NAMASJune 23, 2020

  June 23, 2020 | By Grant Huang, CPC, CPMA     One of the more challenging aspects of coding and auditing for OB/GYN providers revolves around the global obstetrical package, which bundles all services relating to pregnancy and delivery into a single global code, depending on the manner of delivery. What is part of…

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The Telehealth Conundrum – MAC vs National CMS Guidance

E/M Coding & Auditing, Holly CassanoBy NAMASJune 26, 2020

June 26, 2020 | By Holly Cassano, CPC, CRC As we move through the COVID-19 pandemic, many of us in health care are finding that many opinions and much guidance exists on the topic of telehealth/telemedicine, from many various sources. At the beginning of the COVID-19 public health emergency, the rules literally seemed to change…

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Repetitive Documentation of Time

2021 E&M Changes, E/M Coding & Auditing, Stephanie AllardBy NAMASJuly 3, 2020

  July 3, 2020 | By Stephanie Allard, CPC, CEMA, RHIT     As we move towards implementing the 2021 E/M changes, we need to evaluate areas of bad habits within E/M encounter documentation. I have noticed in my current reviews that many providers are in the habit of documenting the same exact amount of…

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Whither History and Examination? Building the Future of EHR Documentation

2021 E&M Changes, E/M Coding & Auditing, J. Paul SpencerBy NAMASJuly 10, 2020

  July 10, 2020 | By Paul Spencer, CPC, COC   Regular readers of this unique space in the auditing universe have more than likely begun to prepare for 2021 outpatient E/M changes. These planned adaptations have focused mainly on documentation regarding medical decision making, as well as the total time element that is fundamental…

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Public Health Emergency Set to Expire July 25, 2020

COVID-19, Legislative Action, News & Events, Sean WeissBy NAMASJuly 23, 2020

  July 23, 2020 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC As you all know the Public Health Emergency (PHE) is due to expire on Saturday the 25th of July unless the Secretary of HHS issues a declaration extending the PHE under what is referred to as the Public Health Services…

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The Truth about 2021 E/M Changes

2021 E&M Changes, E/M Coding & Auditing, Payer Rules, Sean WeissBy NAMASJuly 24, 2020

  July 24, 2020 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC Here we are, nearly at the end of July 2020 and we are neck deep in the process of trying to determine the true impact of the 2021 Evaluation and Management (E&M) Services changes. Here’s the deal from my perspective:…

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