Auditing Split/Shared Visits? Start Here First. Article Reference Code: NAMAS.11.28.2025 Written by: Sonda Kunzi, CPC COC CPB CRC CPCO CPMA CPPM CPC-I Auditing split/shared encounters can get messy and not because auditors lack the regulation text. CPT and CMS have made the rules clear enough. What creates confusion is where the audit starts. If you…
This step-by-step guide breaks down Medicare’s guidelines and shows you what to look for in every audit. Article Reference Code: NAMAS.11.21.2025 Written by: Scott Kraft, CPC, CPMA, CEMA Whenever I’m auditing services billed under Medicare’s Incident to billing guidelines, I know I have two components to the audit. The first step is part of just…
Understanding New Audio-Only and Brief Telehealth E/M Codes: Documentation, Compliance, and Medicare Guidelines Written by: Gabriel Aponte Moberg The audio-only codes 98008 through 98015 require more than ten minutes of synchronous, real-time verbal communication. These services may be selected based on either total time or medical decision-making (MDM). Each code corresponds to specific MDM levels and…
Billing Compliance Conflict? Navigate It with Confidence Billing Instructions Raising Concerns? Here’s a Pro-Level Playbook Written by: Toni Elhoms | Alpha Coding Experts In the complicated world of pay-and-chase healthcare reimbursement, medical billing is not just a back-office support function, but rather a regulatory landmine for healthcare organizations! From Stark Law to the False Claims Act…
Are You Billing Ancillary Staff Correctly? Avoid Costly Errors Ancillary or Reimbursable? Why the Distinction Matters More Than Ever Written by: Sean Weiss | DoctorsManagement, LLC One of the biggest issues I address weekly for clients and law firms across the country is the use of “ancillary staff” vs. “reimbursable providers”. In the current environment, ensuring…