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Category Archives: E/M Coding & Auditing

Let’s Do the Time Warp… Again!

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASFebruary 12, 2021

  February 12, 2021 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O   A few weeks ago, NAMAS presented a webinar about 2021 time and prolonged services. The flood of participant questions made it very obvious there is still uncertainty about how to appropriately use time to select the level of office…

2021 E&M Documentation: 3 Reasons Your Providers Haven’t Adopted the New Guidelines

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASJuly 9, 2021

  July 9, 2021 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT   After 6 months of speaking to the 2021 AMA guidelines, many of you may be tired of talking about the new documentation guidelines. But the other half of us are frustrated at still seeing documentation come through that represents the mandated…

E/M 2021 Guidelines and the Importance of SDOH

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASJune 4, 2021

  June 4, 2021 | By Cheryl A. Cyrus, RHIT, CPMA, CDEO, CRC, Comforcehealth, Quality Assurance Auditor As of January 1, 2021, we have been given new Evaluation and Management Guidelines for Outpatient Office and Ambulatory services that encompass specific areas of risk defined in the SDOH (Social Determinants of Health).  As a Profee auditor,…

Use of “Time” in Evaluation Management and Coding

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASMay 14, 2021

  May 14, 2021 | By Jill Young, CPC, CEDC, CIMC The time has come for you to consider the “new time” method to determine the evaluation and management (E&M) coding for your office and other outpatient services. I use the phrase “new time” to differentiate it from the “old time” concept you are accustomed…

Feds Moving Quickly Into Recoupment Audit Mode

Compliance, COVID-19, E/M Coding & AuditingBy NAMASMay 7, 2021

  May 7, 2021 | By Frank Cohen, Director of Analytics and Busines Intelligence It looks like the feds are moving quickly into recoupment audit mode in regards to telehealth and other services reported during the COVID-19 declared Public Health Emergency (PHE).  Starting sometime the end of the first quarter of 2020, HHS came out…

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