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Category Archives: E/M Coding & Auditing

How (and when) to credit “Decision Regarding Hospitalization”

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASJanuary 29, 2021

  January 29, 2021 | By Scott Kraft, CPMA, CPC One of the big changes in the new E/M Documentation Guidelines for 2021 for office and outpatient service codes 99202-99215 is the new high-risk category of “Decision Regarding Hospitalization.” As an auditor, the first thing I thought about were the situations in which a very…

Why Analyzing Your E/M Data is Crucial in 2021

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASFebruary 5, 2021

  February 5, 2021 | By Paul Spencer, CPC, COC As coders, auditors, and practitioners, we now find ourselves one month into the new world of outpatient evaluation and management (E/M) services. By now, certain patterns are hopefully beginning to emerge with regard to providers’ E/M documentation. As templates change and providers make the choice…

Time is money: How time and RVUs determine your payment

E/M Coding & AuditingBy NAMASMay 8, 2020

  May 8, 2020 | By Paul Spencer, CPC, COC Time, as it applies to procedures and services, is a vastly misunderstood portion of the Resource Based Relative Value Scale (RBRVS), the methodology used to generate the relative value units (RVUs) that determine the payment for every CPT code. For many years, information on the…

Coding and Compliance Audits During COVID-19

COVID-19, E/M Coding & Auditing, Legislative ActionBy NAMASMay 15, 2020

  May 15, 2020 | By Stephanie Allard, CPC, CEMA, RHIT Over the past month, I have heard comments wondering why we would continue to audit during the COVID-19 public health emergency (PHE). Many commented that with so much going on, there is not enough time, and the encounters are now telehealth so what is…

2021 E&M Overview Webinar Review

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASMay 19, 2020

Leave the Tylenol at home — you won’t need it for this webinar! What a refreshing webinar this is- not only in this extraordinary season we are currently in, doesn’t make us feel lost, or hanging without help. Shannon Deconda presents in a way that even the beginners of us, to the most experienced, are…

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