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NAMAS MEDICAL AUDITING AND COMPLIANCE

Don’t Sleep On Small Claims Denials

Payer Rules, Revenue Cycle ManagementBy NAMASDecember 10, 2021

  December 10, 2021 | by Kelley Chappell Larkins, CPMA, CPC Are you ever tempted to just sweep those small claim denials under the rug? Do you sometimes wonder if it is worth the time and effort to figure out why a code, which will end up yielding $30, is being denied? Does it feel…

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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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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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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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