Article Reference Code: NAMAS.07.25.2025 Overview of Anesthesia Auditing Written by: J. Paul Spencer Unlike E/M or surgical auditing, the discipline of anesthesia has many moving parts that come together to form one reported claim. Although in most cases, only one anesthesia CPT code is reported, aspects such as time, concurrency modifiers and physical status affect…
Article Reference Code: NAMAS.07.18.2025 Roles and Compliant Documentation in Ancillary Staff: A Medical Coding and Compliance Perspective Written by: Stephanie Allard In the highly regulated world of healthcare, the integrity of clinical documentation is the foundation of everything we review for compliance. We must remember that providers are not the only ones that are responsible…
Article Reference Code: NAMAS.07.11.2025 Understanding Coding, Documentation, and Common Pitfalls in Moderate Sedation Services Written by: Aimee Wilcox Moderate (conscious) sedation is an important component in enhancing patient comfort and cooperation during various medical and dental procedures. It is a drug-induced state during which patients remain conscious and able to respond to verbal instructions but…
Understanding New Audio-Only and Brief Telehealth E/M Codes: Documentation, Compliance, and Medicare Guidelines Written by: Gabriel Aponte Moberg The audio-only codes 98008 through 98015 require more than ten minutes of synchronous, real-time verbal communication. These services may be selected based on either total time or medical decision-making (MDM). Each code corresponds to specific MDM levels and…
Billing Compliance Conflict? Navigate It with Confidence Billing Instructions Raising Concerns? Here’s a Pro-Level Playbook Written by: Toni Elhoms | Alpha Coding Experts In the complicated world of pay-and-chase healthcare reimbursement, medical billing is not just a back-office support function, but rather a regulatory landmine for healthcare organizations! From Stark Law to the False Claims Act…