November 15, 2024 | By Scott Kraft, CPMA, CPC When I audit services performed in an infusion center, I’m addressing two key questions. First, were all of the patient’s infusion, injection, and/or hydration services documented appropriately for what is being billed? Second, if evaluation and management services were performed, were they medically necessary and…
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Insurance Discrimination – Against the Provider Author: Jeana M. Singleton, Esq. When the concept of “insurance discrimination” rears its ugly head, we often think of it in the context of when an insurance company treats some people differently than others based on protected classes, such as race, national origin, sex, or religion. Sometimes, this type…
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No Distractions, Just Growth: The NAMAS Difference Author: Shannon O. DeConda Date: October 18, 2024 Over the past 16 years, the NAMAS Conference has transformed in many ways, but one thing has remained constant: its commitment to delivering exceptional education. This enduring dedication to education is the reason I am so passionate about hosting the…
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Understanding Immunizations/ Vaccines the Who, the What and the Codes Published: October 11, 2024 Author: Andrea McGuire CMPE, CPPM, CEMA, COSC, CPC Ever since COVID happened, I have heard a lot about immunizations and how some people feel about them. This article isn’t about my feelings on immunizations or vaccines, it is about the who, the…
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Understanding Independent Interpretation in E/M Coding: Three Essential Requirements Shannon O. DeConda, CPC, CPMA, CEMA, CPA-EDU October 4, 2024 In the realm of Evaluation and Management (E/M) coding, independent interpretation is an often misunderstood component of the Medical Decision Making (MDM) table. Proper documentation of independent interpretation is required to impact the MDM and, consequently,…
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