5 Steps to Update Your Audit Plan for Office Visits via Telehealth Article Reference Code: NAMAS.12.19.2025 Written by: Sonal Patel, BA, CPMA, CPC, CMC, ICDCM Is your practice overwhelmed by all the noise? When it comes to updating your audit plan, it’s best to keep the focus on each service line you provide. For example,…
Looking Ahead: Compliance in the Age of Al for Coding, Auditing, and CDI Article Reference Code: NAMAS.12.12.2025 Written by: Melinda McGuire, MS, Master of Am Studies, RHIA An Al coding tool suggests a diagnosis that will increase reimbursement by $2400. The documentation technically supports it. The keywords are there, and the format looks perfect. When…
Not Just About Errors: Why Precision Is the Real Measure of Audit Quality Article Reference Code: NAMAS.12.05.2025 Written by: Allyson Woolard, MBA, RHIA, CPMA, CPC, CPB, CMRS, CMCS, CDBS, CDC If you’re new to medical auditing or an experienced auditor, you’ve probably come across terms like error rate and precision error rate. Do you know…
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…