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NAMAS MEDICAL AUDITING AND COMPLIANCE

What Time Does Not Allow

CPT, E/M Coding & Auditing, Evaluation & Management: 2021 & Beyond, Today's TakeBy NAMASJune 1, 2022

You know, most of the training I see out there, and even most of the training that I’m asked to do on E&M 2021 documentation guidelines surrounds MDM, so a lot of it isn’t even on time-based. So, set your watch. Let’s spend just a few minutes talking about…time. I’d like to start off by…

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Healthcare Compliance: A Unique Opportunity to Impact the Business Side of Medicine

Career, ComplianceBy NAMASMay 27, 2022

  May 27, 2022 | By Sonal Patel, CPMA, CPC, CMC, ICDCM I have been privileged to make my entrance into the world of healthcare and medical coding, specifically after my first career as an art historian dissolved way back in 2008 due to the recession. Mind you, I have taken all my research skills,…

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External Source: Review of External Notes

Compliance, E/M Coding & Auditing, Today's TakeBy NAMASMay 25, 2022

Have you ever had one of those questions that you think you have the answer to, but the more you read it, the more you’re swayed the other way — and then you read it again and you have an even different answer? Well, one of our NAMAS members (and a friend of mine) emailed…

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Navigating the UPIC Investigation from a Compliance Consultant’s Perspective

ComplianceBy NAMASMay 20, 2022

  May 20, 2022 | By Toni Elhoms, CCS, CPC, CPMA, CRC Over the past year and a half, I have seen a significant increase in the volume of Unified Program Integrity Contractor (UPIC) investigations taking place in private physician practices.  UPICs work on behalf of CMS to perform program integrity functions like detecting fraud,…

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Addendums

Compliance, E/M Coding & Auditing, Procedural Coding & Auditing, Today's TakeBy NAMASMay 18, 2022

I would like to make things right the first time so often, that they have errors and I need to make corrections -and the same is true for providers. In this post, I would like to approach the topic of addendums. The thing about addendums is… there are no clear-cut rules – except how to…

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