HCC Coding: More Than Just a List of Diagnoses Article Reference Code: NAMAS.07.10.2026 Written by: Amy Wheeler CPC, CPB, CDEO, CPMA, CRC, CRC-I, CPA-RA A patient presents for an annual wellness visit. The problem list includes diabetes with complications, chronic kidney disease, major depressive disorder, and heart failure. Each diagnosis maps neatly to an HCC. At first glance,…
EMR Hacks from Auditors Who’ve Seen It All Article Reference Code: NAMAS.07.03.2026 Written by: Melissa Kirshner and Erin Fogolini During COVID, how many of us had telehealth visits only to review the progress note uploaded to the provider’s electronic medical records (EMR) to see “lungs clear to auscultation, heart RRR”? When questioning a provider after…
Build-A-Bot: Tools I Created or Customized to Help Me Audit Smarter Article Reference Code: NAMAS.06.26.2026 Written by: Christine Hall When I first started in healthcare, we did not have fancy dashboards, AI assistants, or automation tools. We had paper reports, highlighters, sticky notes, and a whole lot of determination. Over the years, I learned that…
Auditing from the Dashboard: Are We Losing Clinical Context? Article Reference Code: NAMAS.06.19.2026 Written by: Anna McGregor The evolution of healthcare analytics has transformed healthcare operations from retrospective data hunting into a fast-paced environment managed by near-real-time visualizations. Historically, healthcare metrics were locked away in static reports, endless spreadsheets, or financial summaries maintained by decision-support…
Don’t Talk Code to Me: How to Communicate Audit Findings Without Triggering Defensiveness Article Reference Code: NAMAS.06.12.2026 Written by: Monteal Martin, CPMA, CPC, CCE, COBGC, CRCR, RHIT To effectively communicate with clinicians, the approach should be grounded in respect, clarity, and data. As auditors and compliance professionals, our job is not just to find the…