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Category Archives: Authors

A New Element of MDM: Social Determinants of Health

2021 E&M Changes, E/M Coding & Auditing, Janee' BlackBy NAMASFebruary 26, 2021

  March 26, 2021 | By Janee’ Black, CPC, COC, CPMA The American Medical Association (AMA) recently released changes to the current Evaluation and Management (E/M) documentation guidelines for the…

Critical Care Billing: It’s the Little Things

Compliance, David Carpenter, E/M Coding & Auditing, Procedural Coding & AuditingBy NAMASFebruary 19, 2021

  February 19, 2021 | By David Carpenter   Critical care billing is relatively simple. Documentation requires three items – The patient is critically ill. What the provider is doing…

Let’s Do the Time Warp… Again!

2021 E&M Changes, E/M Coding & Auditing, Pam VanderbiltBy NAMASFebruary 12, 2021

  February 12, 2021 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O   A few weeks ago, NAMAS presented a webinar about 2021 time and prolonged services.…

Why Analyzing Your E/M Data is Crucial in 2021

2021 E&M Changes, E/M Coding & Auditing, J. Paul SpencerBy NAMASFebruary 5, 2021

  February 5, 2021 | By Paul Spencer, CPC, COC As coders, auditors, and practitioners, we now find ourselves one month into the new world of outpatient evaluation and management…

How (and when) to credit “Decision Regarding Hospitalization”

2021 E&M Changes, E/M Coding & Auditing, Scott KraftBy NAMASJanuary 29, 2021

  January 29, 2021 | By Scott Kraft, CPMA, CPC One of the big changes in the new E/M Documentation Guidelines for 2021 for office and outpatient service codes 99202-99215…

The Year of the Audit: Stand Your Ground with Payers

Compliance, E/M Coding & Auditing, Legislative Action, Payer Rules, Sean WeissBy NAMASJanuary 22, 2021

  January 22, 2021 | By Sean M. Weiss, CHC, CMCO, CEMA, CPMA, CPC-P, CMPE, CPC Welcome to 2021, “y’all” – as we say down yonder in the beautiful South!…

Auditing Critical Care Services

E/M Coding & Auditing, Procedural Coding & Auditing, Stephanie AllardBy NAMASJanuary 15, 2021

  January 15, 2021 | By Stephanie Allard, CPC, CEMA, RHIT CMS defines critical care as “the direct delivery by a physician(s) of medical care for a critically ill or…

Better late than never: Stimulus bill salves pain of conversion factor cut, also delays G2211

E/M Coding & Auditing, Grant Huang, News & Events, Payer RulesBy NAMASJanuary 8, 2021

January 7, 2021 | By Grant Huang, CPC, CPMA The 2021 Physician Fee Schedule (PFS) had included the largest one-year reduction to the Medicare conversion factor (CF) in more than…

Changes to Stark May Require Tweaks to the Physician Compensation Formula

David Glaser, Legislative Action, Payer RulesBy NAMASJanuary 8, 2021

  January 8, 2021 | By David Glaser In early December, the Centers for Medicare and Medicaid Services (CMS) issued new rules that dramatically revise the Physician Self-Referral Law, commonly…

The SOAP Note Revisited in 2021

2021 E&M Changes, E/M Coding & Auditing, Procedural Coding & Auditing, Shannon DeCondaBy NAMASJanuary 1, 2021

January 1, 2021 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT While conducting a 2021 E&M Physician Training event for a client, like right in the middle of the…

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