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Category Archives: Procedural Coding & Auditing

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…

External Reviews are For More Than Proof of an Audit

Compliance, E/M Coding & Auditing, Procedural Coding & AuditingBy NAMASMarch 5, 2021

  March 5, 2021 | By Stephanie Allard, CPC, CEMA, RHIT When I begin to work with a new client on an auditing project, I like to set up a meeting with them before we begin, to talk through the steps that I take as an auditor and to discuss their reason for the audit…

Critical Care Billing: It’s the Little Things

Compliance, E/M Coding & Auditing, Procedural Coding & AuditingBy NAMASFebruary 19, 2021

  February 19, 2021 | By David Carpenter   Critical care billing is relatively simple. Documentation requires three items – The patient is critically ill. What the provider is doing to treat or prevent organ system failure or compromise. How much time the provider spent providing critical care. While critical care billing is relatively simple,…

Auditing Critical Care Services

E/M Coding & Auditing, Procedural Coding & AuditingBy NAMASJanuary 15, 2021

  January 15, 2021 | By Stephanie Allard, CPC, CEMA, RHIT CMS defines critical care as “the direct delivery by a physician(s) of medical care for a critically ill or injured patient. The care of such patients involves decision making of high complexity to assess, manipulate, and support central nervous system failure, circulatory failure, shock-like…

The SOAP Note Revisited in 2021

E/M Coding & Auditing, Evaluation & Management: 2021 & Beyond, Procedural Coding & AuditingBy NAMASJanuary 1, 2021

January 1, 2021 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT While conducting a 2021 E&M Physician Training event for a client, like right in the middle of the session, I had an epiphany. Now maybe you have already had it- but I thought- WOW- we have made the full circle right back around…

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