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Category Archives: Procedural Coding & Auditing

Back to the Basics

Career, Compliance, E/M Coding & Auditing, Procedural Coding & Auditing, Revenue Cycle ManagementBy NAMASFebruary 11, 2022

  February 11, 2022 | Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content, innoviHealth How have you felt when you embarked upon an audit, expecting to find certain basic standards of documentation to be present, but instead found them missing? Do you pull out your favorite red pen, grab a cup of…

Should Your 2022 Audit Plan Include Paid Claims?

E/M Coding & Auditing, Procedural Coding & Auditing, Revenue Cycle ManagementBy NAMASJanuary 14, 2022

January 14, 2022 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT In 2022, when we sit down to configure an audit plan, we often consider whether we will perform an audit retrospectively or prospectively and whether the sample will include evaluation and management (E&M) services, procedures or some combination of them both. What we…

Cracking The Code: How To Get Paid From The HRSA Uninsured COVID-19 Portal

COVID-19, Payer Rules, Procedural Coding & AuditingBy NAMASDecember 3, 2021

  December 3, 2020 | By Holly Cassano, CPC, CRC There are not many positives that are generally born out of a Pandemic, but for the COVID 19 Pandemic, there have been a few and one of them is the creation of the HRSA Uninsured Portal. I call it a provider “Godsend” as it has…

So, You Got Your New Coding Manual…

Career, ICD-10, Procedural Coding & AuditingBy NAMASOctober 29, 2021

  October 29, 2021 | Edward Townley CPC, CEMC, CUC, ROCC, Founder, Cogent9 Consulting This is the time of year that we receive our new coding manuals. First the ICD-10, which becomes effective October 1 and CPT and HCPCS manuals which come nearer to the end of the calendar year, and effective January 1. For…

Auditing Infusions, Hydrations and Injections

Compliance, Procedural Coding & AuditingBy NAMASOctober 15, 2021

  October 15, 2021 | By Michele Stevens If your facility and/or practice is providing infusion, hydration, and injection services they should be included in your annual compliance auditing plans to ensure proper coding guidelines are being followed and documentation education is not necessary to assist with any loss of revenue gaps. Infusion, hydration, and…

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