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Category Archives: Procedural Coding & Auditing

Addendums

Compliance, E/M Coding & Auditing, Procedural Coding & Auditing, Today's TakeBy NAMASMay 18, 2022

I would like to make things right the first time so often, that they have errors and I need to make corrections -and the same is true for providers. In this post, I would like to approach the topic of addendums. The thing about addendums is… there are no clear-cut rules – except how to…

2022 Annual Audit Elements: What Should Be Reviewed

E/M Coding & Auditing, Procedural Coding & AuditingBy NAMASApril 8, 2022

  April 8, 2022 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC Four months into 2022 and the question is:  How far along is your audit of high, medium, and low-risk services? If you are like most practices or health systems, something always gets in the way and causes audits to take…

Pinpointing Correct Coding for Anesthesia in Abortions

Compliance, Procedural Coding & AuditingBy NAMASMarch 25, 2022

March 25, 2022 | By Kim Jolivette Williams Medical terminology related to abortions can be puzzling, but it is essential to understand the differences. Having a clear comprehension of several abortions terms is a vital component to achieve successful coding. First, let’s cover what is anesthesia. Per the ASA- American Society of Anesthesiologists, General Anesthesia…

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…

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