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NAMAS MEDICAL AUDITING AND COMPLIANCE

The Use of “AI” in Healthcare: Proceed with Caution

Career, Compliance, Practice Management, Procedural Coding & Auditing, Revenue Cycle ManagementBy NAMASMay 18, 2023

  May 19, 2023 | By Terry A. Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM Unless you have been climbing Mount Everest alone with no cell or Wi-Fi services for the past few months, I am certain you have heard of ChatGPT and its use as a form…

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Teach Precision and Need for Time-Based Documentation

Compliance, E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASMay 10, 2023

  May 12, 2023 | By Scott Kraft, CPMA, CPC The E/M Documentation Guidelines implemented in 2021 essentially place, time and medical decision making on equal footing. When visit time is documented, the service can be coded based on whichever of time and medical decision making is most favorable to the provider. This has led…

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Keys to Correct Embolization Coding: CPT® Codes 37241-37244

CPT, Procedural Coding & AuditingBy NAMASMay 2, 2023

  May 5, 2023 | By Stacie L. Buck, RHIA, CCS-P, RCC, RCCIR, CIRCC It is no secret that interventional radiology is one of the most difficult specialties for coders and auditors to master.  In particular, coding correctly for embolization procedures can be tricky due to the multiple coding considerations involved. This article provides tips…

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How MACROs Can Be Detrimental to Your Documentation

2023 AMA Updates, Compliance, Evaluation & Management: 2021 & BeyondBy NAMASApril 27, 2023

  March 28, 2023 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT With the adaptation of 2021 Guidelines and the reduction in documentation requirements, many coders and auditors had thought the use of copy and paste may begin to phase out. Unfortunately, this has not been the case, primarily because many providers are still…

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The House Always Wins – PXDX Edition

Compliance, Payer RulesBy NAMASApril 19, 2023

  May 20, 2022 | By Toni Elhoms, CCS, CPC, CPMA, CRC I know I am not the only one who is completely appalled by the recent bombshell story on Cigna’s shady claims adjudication practices.  ProPublica recently published a scathing article that pulls back the curtain on “PXDX” – a cost-containment strategy deployed by Cigna…

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