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Category Archives: E/M Coding & Auditing

What To Do When a Provider Reports All E/M Levels Solely Based On Time

E/M Coding & AuditingBy NAMASNovember 26, 2021

  November 26, 2021 | By Toni Elhoms, CCS, CPC, CPMA, CRC As I am sure many of my colleagues can relate, I have frequently heard statements like, “All my E/M services are coded based on time because it’s just easier” or “I add total time to all my notes just to cover my bases”.…

Be Wary of How Some Providers are Documenting Time in 2021

Compliance, E/M Coding & AuditingBy NAMASOctober 22, 2021

  October 22, 2021 | By Scott Kraft, Auditing Specialist, DoctorsManagement Like many of my auditing colleagues, I entered 2021 with a solid understanding of the rules of the 2021 E/M Documentation Guidelines, but looked forward to seeing how they were applied in practice by the rendering provider. Now that we’ve entered October, one area…

In a pediatric office, when is a fever considered a systemic symptom?

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

  October 12, 2021 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT 2021 AMA guidance indicates that a general systemic symptom such as fever should not be considered a systemic system, but not all fevers fall in this category. The question typically posed is: what is the “magic” range that identifies it as no…

Not All Remote Services are Telehealth: Know Your Codes!

E/M Coding & Auditing, ICD-10By NAMASOctober 1, 2021

  October 1, 2021 | By Grant Huang, CPC, CPMA A year and half into the coronavirus pandemic, confusion still remains over a variety of remote services that are often lumped into the same category as telehealth but have their own unique codes and billing guidelines. CMS has given them the somewhat unwieldy label of…

Keys to a Successful Audit

Career, E/M Coding & Auditing, Procedural Coding & AuditingBy NAMASSeptember 28, 2021

  September 28, 2021 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT The mechanics of auditing can, of course, be acquired through a training course; but then when you find yourself in certain audit roles, you may recognize the lack of experience within skills briefly mentioned during that training. So, how do you work…

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