Auditing from the Dashboard: Are We Losing Clinical Context?

Career, Compliance, E/M Coding & Auditing, Medical AuditingLeave a comment

Auditing from the Dashboard: Are We Losing Clinical Context? Article Reference Code: NAMAS.06.19.2026 Written by: Anna McGregor The evolution of healthcare analytics has transformed healthcare operations from retrospective data hunting into a fast-paced environment managed by near-real-time visualizations. Historically, healthcare metrics were locked away in static reports, endless spreadsheets, or financial summaries maintained by decision-support…

Auditing Preventive Services in 5 Steps

Compliance, E/M Coding & AuditingLeave a comment

Article Reference Code: NAMAS.10.03.2025 Auditing Preventive Services in 5 Steps Written by: Anna M. McGregor Preventive healthcare plays a crucial role in maintaining patient well-being, reducing long-term healthcare costs, and identifying risks before they escalate into acute illnesses. Within the U.S. healthcare system, preventive services are emphasized through programs such as the Medicare Annual Wellness…

Safeguarding Medical Necessity in Non-face-to-face Exchanges

Compliance, CPT, E/M Coding & Auditing, Evaluation & Management: 2021 & Beyond, Revenue Cycle ManagementLeave a comment

Safeguarding Medical Necessity in Non-face-to-face Exchanges Anna McGregor CLP, CPC, CPCO, CPMA, CPA-RA, CEMC, CEMA September 6, 2024 Has there been a moment when auditing an encounter when one wondered if this service was necessary because a reasonable indication for medical services was not identified?  Should medical necessity be identified as the appropriateness of a non-face-to-face…