Auditing from the Trenches: Spotting OIG Red Flags Before the Feds Do Article Reference Code: NAMAS.09.04.2026 Written by: Dannilla Morgan, CPC, CBCS The modern auditing landscape has shifted dramatically, moving far away from the days of manual, randomized chart selections driven by simple bad luck or an isolated patient dispute. Today, the Office of Inspector…
Remote Surgical Auditing: Best Practices from the Home Office Article Reference Code: NAMAS.07.17.2026 Written by: John Piaskowski, CPC-M, CPC-I, CIRCC, CCC, CPMA, CCVTC, CGIC, CGSC, CUC, COSC, CRC In the role of a remote surgical auditor (and this might be accurate for E/M coders as well), we are put at a slight disadvantage, in many ways. First, we rely heavily upon…
HCC Coding: More Than Just a List of Diagnoses Article Reference Code: NAMAS.07.10.2026 Written by: Amy Wheeler CPC, CPB, CDEO, CPMA, CRC, CRC-I, CPA-RA A patient presents for an annual wellness visit. The problem list includes diabetes with complications, chronic kidney disease, major depressive disorder, and heart failure. Each diagnosis maps neatly to an HCC. At first glance,…
EMR Hacks from Auditors Who’ve Seen It All Article Reference Code: NAMAS.07.03.2026 Written by: Melissa Kirshner and Erin Fogolini During COVID, how many of us had telehealth visits only to review the progress note uploaded to the provider’s electronic medical records (EMR) to see “lungs clear to auscultation, heart RRR”? When questioning a provider after…
Build-A-Bot: Tools I Created or Customized to Help Me Audit Smarter Article Reference Code: NAMAS.06.26.2026 Written by: Christine Hall When I first started in healthcare, we did not have fancy dashboards, AI assistants, or automation tools. We had paper reports, highlighters, sticky notes, and a whole lot of determination. Over the years, I learned that…