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Category Archives: E/M Coding & Auditing

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…

2021 E&M: Order and Review for INPATIENT

2023 AMA Updates, E/M Coding & Auditing, Evaluation & Management: 2021 & Beyond, Today's TakeBy NAMASOctober 17, 2022

The 2021 documentation guidelines for INPATIENT services will be effective on January 1st, 2023, and we hope you’re ready! What I want to address in this post relates to the middle column; Data. This has proven to be a problem in the office setting, which was our first rollout, and I can tell you, I…

Up-Coding and Down-Coding: The Yin-Yang of Coding Evaluation and Management Services

Compliance, E/M Coding & AuditingBy NAMASSeptember 23, 2022

  September 23, 2022 | By Sonal Patel, CPMA, CPC, CMC, ICDCM Can I be honest here? I am thrilled that I am finished with the 1995 and 1997 (“95 and 97”) evaluation and management (“E/M”) guidelines for office and outpatient visits. Okay, okay, obviously I am not serious, but I am happy seeing that…

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,…

Billing New Services: Are You the Last To Know?

Compliance, E/M Coding & Auditing, Procedural Coding & Auditing, Revenue Cycle Management, Today's TakeBy NAMASAugust 16, 2022

You know, sometimes, as coders and auditors, we’re the last ones to know about new things that come into the office, but sometimes we should be the first. This past week I got an e-mail from a friend (who is also a client and NAMAS member) who said their office received a new type of…

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