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Category Archives: Compliance

HIPAA compliance: Practices Face Big Fines For Not Getting Patients Requested PHI In Time

Compliance, Legislative ActionBy NAMASApril 23, 2021

  April 23, 2021 | By By Rachel Rose, JD, MBA   Early in 2019, the U.S. Department of Health and Human Services – Office for Civil Rights (HHS-OCR) announced the creation of an initiative to target violations of 45 CFR §164.524(b)(2) for not providing an individual with his/her requested protected health information (PHI) within…

Auditing Medication Assisted Treatment (MAT) Services

Compliance, E/M Coding & AuditingBy NAMASMarch 12, 2021

  March 12, 2021 | Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content, innoviHealth Because deaths due to drug overdose is a nationwide epidemic, federal, state, and private organizations created substance use disorder (SUD) programs to treat patients who abuse alcohol or other illicit substances, or who have a history of prolonged…

External Reviews are For More Than Proof of an Audit

Compliance, E/M Coding & Auditing, Procedural Coding & AuditingBy NAMASMarch 5, 2021

  March 5, 2021 | By Stephanie Allard, CPC, CEMA, RHIT When I begin to work with a new client on an auditing project, I like to set up a meeting with them before we begin, to talk through the steps that I take as an auditor and to discuss their reason for the audit…

Critical Care Billing: It’s the Little Things

Compliance, E/M Coding & Auditing, Procedural Coding & AuditingBy NAMASFebruary 19, 2021

  February 19, 2021 | By David Carpenter   Critical care billing is relatively simple. Documentation requires three items – The patient is critically ill. What the provider is doing to treat or prevent organ system failure or compromise. How much time the provider spent providing critical care. While critical care billing is relatively simple,…

The Year of the Audit: Stand Your Ground with Payers

Compliance, E/M Coding & Auditing, Legislative Action, Payer RulesBy NAMASJanuary 22, 2021

  January 22, 2021 | By Sean M. Weiss, CHC, CMCO, CEMA, CPMA, CPC-P, CMPE, CPC Welcome to 2021, “y’all” – as we say down yonder in the beautiful South! Let me begin by making it clear that the issues discussed in this article are not specific to any particular commercial or federal healthcare payer…

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