Skip to content
1-877-418-5564namas@namas.co
Facebook page opens in new windowTwitter page opens in new windowLinkedin page opens in new windowYouTube page opens in new window
MEMBERSHIP | JOB POSTINGS | FORUM
FREE RESOURCES
LOGIN | JOIN
Search:
NAMAS
National Alliance of Medical Auditing Specialists
NAMASNAMAS
  • HOME
  • SERVICES
    • Auditing Services
    • Coding Services
    • Consulting Services
    • Career Opportunities
    • Provider Education
  • TRAINING
    • Medical Auditing Boot Camp (CPMA Prep)
    • E&M Auditing Boot Camp (CEMA Certification)
    • Webinars
    • Medical Auditing Interactive Workshop
    • E&M Resource Center
    • Weekly Documentation & Compliance Tips
  • MEMBERSHIP
    • Membership Benefits
    • NAMAS Lite Membership
    • Corporate Membership
    • Refer-A-Friend
    • Join
    • Members Only
  • BLOG
  • CONFERENCE
  • ABOUT
    • NAMAS Team
    • NAMAS History
    • Affiliates
    • Contact Us
  • STORE
  • HOME
  • SERVICES
    • Auditing Services
    • Coding Services
    • Consulting Services
    • Career Opportunities
    • Provider Education
  • TRAINING
    • Medical Auditing Boot Camp (CPMA Prep)
    • E&M Auditing Boot Camp (CEMA Certification)
    • Webinars
    • Medical Auditing Interactive Workshop
    • E&M Resource Center
    • Weekly Documentation & Compliance Tips
  • MEMBERSHIP
    • Membership Benefits
    • NAMAS Lite Membership
    • Corporate Membership
    • Refer-A-Friend
    • Join
    • Members Only
  • BLOG
  • CONFERENCE
  • ABOUT
    • NAMAS Team
    • NAMAS History
    • Affiliates
    • Contact Us
  • STORE

Category Archives: Stephanie Allard

If a Procedure Was Not Documented, Was It Performed?

Compliance, Procedural Coding & Auditing, Stephanie AllardBy NAMASMay 23, 2023

  May 26, 2023 | By Stephanie Allard, CPC, CEMA, RHIT Most of us, if not all of us, have heard the statement, “If it isn’t documented, then it wasn’t performed.” While I know this is often the perspective of payors, I cringe when I hear this, thinking about all the providers that I work…

Modifier 25 Pre-Bill Review – Were you ready?

E/M Coding & Auditing, Payer Rules, Stephanie AllardBy NAMASJuly 1, 2022

  July 1, 2022 | By Stephanie Allard, CPC, CEMA, RHIT After all the hype surrounding the upcoming Cigna policy regarding modifier 25 and pre-bill reviews, it seems as if Cigna is not planning on implementing the policy as planned on August 14, 2022. At the time I am writing this, there is recent news…

Audit Preparedness & the importance of an Audit Plan

Compliance, E/M Coding & Auditing, Stephanie AllardBy NAMASSeptember 14, 2021

    September 15, 2021 | By Stephanie Allard, CPC, CEMA, RHIT I am looking forward to the NAMAS 13th Annual Auditing and Compliance Conference at the Wyndham Grand Clearwater Beach on December 5th through 8th! This year, I am excited to be a part of the E&M Auditing track on Tuesday, December 7th and…

What Do External Audit Reviews Look Like?

Compliance, Stephanie AllardBy NAMASJune 25, 2021

  June 25, 2021 | By Stephanie Allard, CPC, CEMA, RHIT When I ask practices if they have been through an external audit recently, they typically will state “no” or let me know if recent requests for a larger number encounter notes have been received. Through these conversations, I realize that they are not noticing…

External Reviews are For More Than Proof of an Audit

Compliance, E/M Coding & Auditing, Procedural Coding & Auditing, Stephanie AllardBy NAMASMarch 5, 2021

  March 5, 2021 | By Stephanie Allard, CPC, CEMA, RHIT When I begin to work with a new client on an auditing project, I like to set up a meeting with them before we begin, to talk through the steps that I take as an auditor and to discuss their reason for the audit…

CPT 2020 Changes to Psychiatry Services

E/M Coding & Auditing, Stephanie AllardBy NAMASDecember 31, 2019

  December 31, 2019 | By Stephanie Allard, CPC, CEMA, RHIT     As of January 1, 2020, CPT made changes to the health and behavior assessment and intervention codes (96150-96155) and therapeutic interventions that focus on cognitive function (97127). If you code and audit services in this category, you must pay close attention to…

That is How We Have Always Done It

Compliance, Procedural Coding & Auditing, Stephanie AllardBy NAMASMay 1, 2020

    May 1, 2020 | By Stephanie Allard, CPC, CEMA, RHIT Over the years I have found that one of the main risks to an organization are employees who get comfortable in their positions to the point where the explanation for or response to an audit variance is “that is how we have always…

Coding and Compliance Audits During COVID-19

COVID-19, E/M Coding & Auditing, Legislative Action, Stephanie AllardBy NAMASMay 15, 2020

  May 15, 2020 | By Stephanie Allard, CPC, CEMA, RHIT Over the past month, I have heard comments wondering why we would continue to audit during the COVID-19 public health emergency (PHE). Many commented that with so much going on, there is not enough time, and the encounters are now telehealth so what is…

Repetitive Documentation of Time

2021 E&M Changes, E/M Coding & Auditing, Stephanie AllardBy NAMASJuly 3, 2020

  July 3, 2020 | By Stephanie Allard, CPC, CEMA, RHIT     As we move towards implementing the 2021 E/M changes, we need to evaluate areas of bad habits within E/M encounter documentation. I have noticed in my current reviews that many providers are in the habit of documenting the same exact amount of…

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 injured patient. The care of such patients involves decision making of high complexity to assess, manipulate, and support central nervous system failure, circulatory failure, shock-like…

NAMAS

National Alliance of Medical Auditing Specialists

10401 Kingston Pike, Knoxville, TN 37922 | 877-418-5564 • namas@namas.co
©Copyright 2011 - 2016, All Rights Reserved | Privacy Policy | Sitemap
Design by Regency

Go to Top