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Category Archives: Compliance

MIPS – What Practices Need to Know to Avoid Financial Penalties

ComplianceBy NAMASSeptember 17, 2021

  September 17, 2021 | By Doug Graham, Senior Management Consultant and Director of Concierge Medicine Services, DoctorsManagement By law, CMS is required to structure the MIPS program such that 1 out of 2 clinicians will be penalized each year. Non-compliance, submitting inaccurate or incomplete data, or failing to meet the points threshold and category…

NAMAS E&M Mind Map

Compliance, E/M Coding & Auditing, Today's TakeBy NAMASOctober 17, 2023

Have you seen the new free NAMAS E&M Mind Map download? The idea behind the Mind Map is that sometimes it’s easier to process and understand things through visual downloads. We envision this as being something that you, as an auditor or coder, may find value in, but also for educating providers, it’s easy to…

Critical Items to Consider When Adopting AI in Healthcare

Compliance, Legislative ActionBy NAMASOctober 12, 2023

  October 27, 2023 | By Rachel Rose, JD, MBA “Do not go gentle into that good night” is a poem by Dylan Thomas. While this poem is often connected with a dying individual, it is equally apropos to procuring technology which includes generative artificial intelligence (“AI”).  As set forth in the American National Standard…

AMA and NCCI: Differences in Coding Policy and Payer Policy Using Modifier 25

Compliance, E/M Coding & Auditing, Payer RulesBy NAMASOctober 3, 2023

  October 3, 2023 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT Have you seen the new AMA Smart Brief on Modifier 25 that was released on August 17th? That’s what I want to talk to you about today. I want to break down the information because I specifically noticed there is a stark…

Imaging Services

Compliance, Payer Rules, Procedural Coding & Auditing, Today's TakeBy NAMASSeptember 27, 2023

Let’s have a conversation about the data column on MDM.  Specifically, what I’d like to address is imaging services. When a provider performs an x-ray while seeing a patient, and they are not going to bill a professional component of that test, how do we count that service? Is that service something we can count?…

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