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NAMAS MEDICAL AUDITING AND COMPLIANCE

Information Blocking: Everything Providers Should Know to Ensure Compliance

Legislative ActionBy NAMASApril 9, 2021

  April 9, 2021 | By Amanda Waesch In December 2016, Congress passed the 21st Century Cures Act (often simply called the “Cures Act”). Woven within the Cures Act is Section 4004 titled “Information Blocking.”[1] The purpose of this section is to prohibit any action or practice that interferes with or prevents access to electronic…

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Navigating the Complexities of Prolonged E/M Services

E/M Coding & AuditingBy NAMASMay 28, 2021

  May 28, 2021 | Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content, innoviHealth Prolonged services codes were created to capture reimbursement for time spent with a patient that goes beyond the typical time associated with the primary service. We’re all aware of those patients that, unexpectedly, require so much prolonged provider…

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Auditing Medication Assisted Treatment (MAT) Services

Compliance, E/M Coding & AuditingBy NAMASMarch 12, 2021

  March 12, 2021 | Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content, innoviHealth Because deaths due to drug overdose is a nationwide epidemic, federal, state, and private organizations created substance use disorder (SUD) programs to treat patients who abuse alcohol or other illicit substances, or who have a history of prolonged…

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Back to the Basics

Career, Compliance, E/M Coding & Auditing, Procedural Coding & Auditing, Revenue Cycle ManagementBy NAMASFebruary 11, 2022

  February 11, 2022 | Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content, innoviHealth How have you felt when you embarked upon an audit, expecting to find certain basic standards of documentation to be present, but instead found them missing? Do you pull out your favorite red pen, grab a cup of…

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Billing 99211 For Nurse Visits

Compliance, E/M Coding & Auditing, Today's TakeBy NAMASAugust 17, 2023

Do you often bill the code 99211? I must admit, this is a service code that isn’t used much anymore, but it can be an excellent code to bill for the overhead when using our office staff. Let’s start with the Par Agreement entered into with your chosen insurance providers. This agreement states that claims…

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