Auditing Split/Shared Visits? Start Here First. Article Reference Code: NAMAS.11.28.2025 Written by: Sonda Kunzi, CPC COC CPB CRC CPCO CPMA CPPM CPC-I Auditing split/shared encounters can get messy and not because auditors lack the regulation text. CPT and CMS have made the rules clear enough. What creates confusion is where the audit starts. If you…
This step-by-step guide breaks down Medicare’s guidelines and shows you what to look for in every audit. Article Reference Code: NAMAS.11.21.2025 Written by: Scott Kraft, CPC, CPMA, CEMA Whenever I’m auditing services billed under Medicare’s Incident to billing guidelines, I know I have two components to the audit. The first step is part of just…
What’s on the Horizon for CY 2026 in the Medicare PFS? Article Reference Code: NAMAS.11.14.2025 Written by: Rachel V. Rose, JD, MBA It’s that time of the year when the focus of healthcare providers, insurers and health care claims clearinghouses begins to heighten because January 1 is on the horizon, which means potential changes to the…
5 Steps to Prepping for Physician Education Article Reference Code: NAMAS.11.07.2025 Written by: Betty Hovey Hey Y’all! As physician educators, we have a tough job. Sometimes it’s like herding cats through a minefield-exhausting, unpredictable, and we sometimes get a few scratches. I mean, you’re speaking to physicians that may be able to diagnose a patient from across the room, but glaze over…
Article Reference Code: NAMAS.10.31.2025 Auditing Infusion in 5 steps Written by: LaDonna Brown Each audit has specific considerations. To begin, conduct thorough initial research to establish a solid foundation for subsequent steps. Key research areas should include reviewing current payer policies and recent regulatory changes. Additionally, familiarize yourself with emerging trends in infusion services and…