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NAMAS MEDICAL AUDITING AND COMPLIANCE

Corrective Action Plan: The Demand from Payors

ComplianceBy NAMASSeptember 16, 2022

  September 16, 2022 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC Audits are nothing new but the requirements tied to them are in a lot of cases. For years I have talked about and encouraged clients to create Corrective Action Plans (CAPS) when they uncover something that requires adjustments and possibly…

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Identifying Common Coding Errors for Lower Extremity Arterial Interventions

CPT, Procedural Coding & AuditingBy NAMASSeptember 9, 2022

  September 9, 2022 | By Stacie L. Buck, RHIA, CCS-P, RCC, RCCIR, CIRCC Each day thousands of patients are undergoing one or more therapeutic interventions, the most common ones being angioplasty, stent and atherectomy of the lower extremity arteries to treat various forms of peripheral vascular disease. This article will highlight the most common…

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Properly Charging Patients for Missed Appointments

Compliance, Payer RulesBy NAMASSeptember 1, 2022

  September 2, 2022 | By Bryan Meek, Esq., Brennan, Manna, and Diamond   Patients missing their healthcare appointments without adequate notice can cost practices a lot of money, as well as deprive patients of necessary care. While one solution to mitigate this damage is to charge patients for missed appointments, policies should be written…

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Avoiding Risk When Using Assistant Modifiers

ComplianceBy NAMASAugust 25, 2022

August 26, 2022 | By Beth Schleeper, COC, CPC, CPCO, CDEO, CPB, CPMA, CPPM, CRC, CPC-I, CEMC, CEMA Most of us are very aware of the risks inappropriate bundling modifier usage can cause, but when is the last time we thought about how other modifiers may put us at risk? For example, what about our surgical modifiers…

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Lessons Learned Drive 2023 Planning

2023 AMA Updates, Compliance, CPT, E/M Coding & Auditing, News & EventsBy NAMASAugust 19, 2022

  August 19, 2022 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT Training techniques used from the 2021 Documentation Guidelines training and implementation may be helpful with training for these updates as well, even though these updates relate to different types and places of service.  However, a lesson learned from 2021 was that education,…

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Recent Posts
  • Roles and Compliant Documentation in Ancillary Staff: A Medical Coding and Compliance Perspective
  • 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?
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