Article Reference Code: 10.17.2025 Written by: Christine Hall When the government shuts down, it’s not just national parks and passport offices that feel the pinch; it’s also your webcam, your telehealth platform, and the patients who depend on virtual access to care. As of October 1, 2025, Congress failed to pass a Continuing Resolution (CR)…
Article Reference Code: NAMAS 10.10.2025 Stop Teaching the Grid. Start Teaching the Why: Mentoring in MDM Auditing Written by: Shannon DeConda Auditing can feel like trying to solve a puzzle where the pieces keep changing shape. When we work with other coders and auditors who are struggling with E/M it’s not about finding the right…
CCM Under the Microscope: Are Your Providers Documentation-Ready? Written by: Christine Hall, CHC, CPC , CDEO, CPB, CPMA, CRC, CEMC, CPC-I Chronic Care Management (CCM) services are getting extra attention from Medicare Administrative Contractors (MACs) as part of their Target, Probe, and Educate (TPE) program. They are closely reviewing CCM claims for possible misuse, which…
Before You Bill Incident To—Is the Treatment Plan Really There? Scott Kraft, CPC, CPMA, CEMC, CPA-RA Whenever you perform an audit under Medicare’s Incident to billing rules, you’re really auditing two different things. First, did the visit note support the code assigned and whether it included any documented changes to the patient’s treatment plan. Second,…
Prescription Drug Management Requires More Than a Medication List Written by: Jill Young What documentation is required to show a provider is performing prescription drug management? It has been a question since the changes to the Office or Other Outpatient Services codes was announced by the American Medical Association (AMA) in 2021. The table Elements of Medical Decision…