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NAMAS MEDICAL AUDITING AND COMPLIANCE

Cracking The Code: How To Get Paid From The HRSA Uninsured COVID-19 Portal

COVID-19, Payer Rules, Procedural Coding & AuditingBy NAMASDecember 3, 2021

  December 3, 2020 | By Holly Cassano, CPC, CRC There are not many positives that are generally born out of a Pandemic, but for the COVID 19 Pandemic, there have been a few and one of them is the creation of the HRSA Uninsured Portal. I call it a provider “Godsend” as it has…

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What To Do When a Provider Reports All E/M Levels Solely Based On Time

E/M Coding & AuditingBy NAMASNovember 26, 2021

  November 26, 2021 | By Toni Elhoms, CCS, CPC, CPMA, CRC As I am sure many of my colleagues can relate, I have frequently heard statements like, “All my E/M services are coded based on time because it’s just easier” or “I add total time to all my notes just to cover my bases”.…

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Revenue Cycle Analysis Presents Multiple Ways to Improve Compliance

Compliance, Revenue Cycle ManagementBy NAMASNovember 17, 2021

  November 17, 2021 | By Scott Kraft, CPMA, CPC A physician practice revenue cycle analysis is really driven by that old saying “Follow the Money.” Along the journey, however, we learn a lot more about payment buckets and accounts receivable, as important as those factors are for practice operations. Very rarely do I perform…

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Be Wary of How Some Providers are Documenting Time in 2021

Compliance, E/M Coding & AuditingBy NAMASOctober 22, 2021

  October 22, 2021 | By Scott Kraft, Auditing Specialist, DoctorsManagement Like many of my auditing colleagues, I entered 2021 with a solid understanding of the rules of the 2021 E/M Documentation Guidelines, but looked forward to seeing how they were applied in practice by the rendering provider. Now that we’ve entered October, one area…

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Prospective, Retrospective, Random, Comprehensive, Focused…Oh My!

Career, ComplianceBy NAMASNovember 19, 2021

  November 19, 2021 | By Susan O’Loughlin, CPC, CPMA, CRC Director of Professional Coding and Provider Education – UVM Health Network CVPH Prospective, Retrospective, Random, Comprehensive, Focused… Which one to utilize is based on the type and scope of audit for your organization. If you are responsible for auditing your provider’s documentation, you know…

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