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Category Archives: Toni Elhoms

Navigating the UPIC Investigation from a Compliance Consultant’s Perspective

Compliance, Toni ElhomsBy NAMASMay 20, 2022

  May 20, 2022 | By Toni Elhoms, CCS, CPC, CPMA, CRC Over the past year and a half, I have seen a significant increase in the volume of Unified Program Integrity Contractor (UPIC) investigations taking place in private physician practices.  UPICs work on behalf of CMS to perform program integrity functions like detecting fraud,…

Mastering Remote Monitoring Compliance in 2022

Compliance, CPT, Toni ElhomsBy NAMASJanuary 7, 2022

  January 7, 2022 | By Toni Elhoms, CCS, CPC, CPMA, CRC It’s our favorite time of the year again – coding and regulatory compliance update season!  As I’m sure many of my compliance colleagues can relate, this is the time of the year when we get inundated with “Can I pick your brain” requests…

What To Do When a Provider Reports All E/M Levels Solely Based On Time

E/M Coding & Auditing, Toni ElhomsBy 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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