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NAMAS MEDICAL AUDITING AND COMPLIANCE

The Value of E/M Benchmarking: 2021 Data Shows Higher Coding

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASMarch 11, 2022

  March 11, 2022 | By Grant Huang, CPMA, CPC For the first time since CMS and the AMA implemented their 2021 revisions to office/outpatient evaluation and management (E/M) guidelines, we now have data on how those revisions may have impacted actual E/M code selection by healthcare providers. Utilization of level 4 visits is up…

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When The “Undiagnosed New Problem” Was Mine

E/M Coding & AuditingBy NAMASFebruary 25, 2022

  February 25, 2022 | By J. Paul Spencer, CPC, COC As an auditor in the post-2021 E/M landscape, one of the more common questions I receive has to do with one of the bullet points found in the “Moderate” line of the new E/M grid labeled “Number and Complexity of Problems Addressed”. While this…

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How to Document Split/Shared Visits in 2022

Compliance, Payer RulesBy NAMASFebruary 4, 2022

  February 4, 2022 | By Scott Kraft, CPMA, CPC Medicare is making big changes to its policies for billing split/shared visits. While the main policy shifts take place in 2023, there are important changes to the rules for split/shared services in 2022 that must be followed for these services to be covered and billable…

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Split/Shared Services: “A Simple Primer to Prime You”

Compliance, Payer RulesBy NAMASFebruary 1, 2022

  February 1, 2022 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC   As 2022 kicks into full gear one of the biggest areas providers (*rendering services in hospitals) face a change is tied to the 2022 CMS Split/Shared Visit Rules and what the anticipated impact(s) will be (here is a link…

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No Surprise Billing Act: What You Need To Know

ComplianceBy NAMASJanuary 28, 2022

  January 28, 2022 | By David Glaser The No Surprise Billing Act may be the most poorly written, difficult to understand set of regulations I have encountered in my legal career.  Stark is much, much easier to understand.  Much of the guidance out there is misleading, if not entirely wrong.  Here is a short…

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