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Category Archives: E/M Coding & Auditing

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…

When Denials Attack: Outpatient E/M Services Denied with 2020 Rationale

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASApril 2, 2021

  April 2, 2021 | By J. Paul Spencer, CPC, COC We now collectively find ourselves one calendar quarter into the new frontier of 2021 outpatient E/M services. Since January 1, I have fielded many questions from my professional contacts regarding how best to look at the newly-engineered medical decision making (MDM) component. As might…

Clear At Last? AMA Releases Clarifications to 2021 E/M Guidelines

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASMarch 26, 2021

  March 26, 2021 | By Grant Huang, CPC, CPMA If you thought some of the language in the 2021 E/M guidelines was confusing, you’re not the only one: The AMA has gotten enough questions about its new guidelines to issue a six-page document packed with clarifications and corrections. The document also includes an additional three pages…

Auditing Medication Assisted Treatment (MAT) Services

Compliance, E/M Coding & AuditingBy NAMASMarch 12, 2021

  March 12, 2021 | Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content, innoviHealth Because deaths due to drug overdose is a nationwide epidemic, federal, state, and private organizations created substance use disorder (SUD) programs to treat patients who abuse alcohol or other illicit substances, or who have a history of prolonged…

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