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Category Archives: CPT

Modifier 25 nd Prescription Drug Management

CPT, E/M Coding & AuditingBy NAMASOctober 21, 2022

  October 21, 2022 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT Whether reviewing common questions received through the NAMAS Ask the Auditor form, questions received during our webinars, BootCamps, workshops, or during provider training and audit feedback sessions, two topics seem to always be on replay. These topics are the proper use of…

The One Where The Code is IN the Documentation

Compliance, CPT, ICD-10, Payer Rules, Today's TakeBy NAMASOctober 4, 2022

Have you given much thought to an encounter that you might review that actually has CPT or ICD-9 codes documented or included right in the EMR-produced note? (Yes, I do start off many conversations just that way. To be in my head… it’s a scary thing!) So, here’s my question to you: What happens when…

Identifying Common Coding Errors for Lower Extremity Arterial Interventions

CPT, Procedural Coding & AuditingBy NAMASSeptember 9, 2022

  September 9, 2022 | By Stacie L. Buck, RHIA, CCS-P, RCC, RCCIR, CIRCC Each day thousands of patients are undergoing one or more therapeutic interventions, the most common ones being angioplasty, stent and atherectomy of the lower extremity arteries to treat various forms of peripheral vascular disease. This article will highlight the most common…

Lessons Learned Drive 2023 Planning

2023 AMA Updates, Compliance, CPT, E/M Coding & Auditing, News & EventsBy NAMASAugust 19, 2022

  August 19, 2022 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT Training techniques used from the 2021 Documentation Guidelines training and implementation may be helpful with training for these updates as well, even though these updates relate to different types and places of service.  However, a lesson learned from 2021 was that education,…

Incident-To Services by Non-Physician Practitioners: What’s Supported?

Compliance, CPTBy NAMASAugust 5, 2022

August 5, 2022 | By Michele Strickland, CPC, CEMA Incident-To is often discussed in coding and compliance circles, but when reviewing encounters, I routinely find the criteria fails to meet or support the billing of non-physician practitioners (NPPs) and/or other clinical staff (auxiliary). There are two types of Incident-To services; a component of the service…

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