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Category Archives: Compliance

Medical Necessity in 2022

Compliance, E/M Coding & Auditing, Legislative Action, Revenue Cycle ManagementBy NAMASJanuary 21, 2022

  January 21, 2022 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC While I am sure you have heard it several dozen times by now, I want to welcome you to 2022 because that is where the pleasantries end. 2022 will see Medical Necessity put front & center not only in audits…

Mastering Remote Monitoring Compliance in 2022

Compliance, CPTBy 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…

Revenue Cycle Analysis Presents Multiple Ways to Improve Compliance

Compliance, Revenue Cycle ManagementBy NAMASNovember 17, 2021

  November 17, 2021 | By Scott Kraft, CPMA, CPC A physician practice revenue cycle analysis is really driven by that old saying “Follow the Money.” Along the journey, however, we learn a lot more about payment buckets and accounts receivable, as important as those factors are for practice operations. Very rarely do I perform…

Be Wary of How Some Providers are Documenting Time in 2021

Compliance, E/M Coding & AuditingBy NAMASOctober 22, 2021

  October 22, 2021 | By Scott Kraft, Auditing Specialist, DoctorsManagement Like many of my auditing colleagues, I entered 2021 with a solid understanding of the rules of the 2021 E/M Documentation Guidelines, but looked forward to seeing how they were applied in practice by the rendering provider. Now that we’ve entered October, one area…

Prospective, Retrospective, Random, Comprehensive, Focused…Oh My!

Career, ComplianceBy NAMASNovember 19, 2021

  November 19, 2021 | By Susan O’Loughlin, CPC, CPMA, CRC Director of Professional Coding and Provider Education – UVM Health Network CVPH Prospective, Retrospective, Random, Comprehensive, Focused… Which one to utilize is based on the type and scope of audit for your organization. If you are responsible for auditing your provider’s documentation, you know…

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