Auditing from the Trenches: Spotting OIG Red Flags Before the Feds Do

Compliance, Documentation Improvement, E/M Coding & AuditingLeave a comment

Auditing from the Trenches: Spotting OIG Red Flags Before the Feds Do Article Reference Code: NAMAS.09.04.2026 Written by: Dannilla Morgan, CPC, CBCS The modern auditing landscape has shifted dramatically, moving far away from the days of manual, randomized chart selections driven by simple bad luck or an isolated patient dispute. Today, the Office of Inspector…

The Whole Story Matters: Documentation in Risk Adjustment

Career, Compliance, E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondLeave a comment

The Whole Story Matters: Documentation in Risk Adjustment Article Reference Code: NAMAS.05.29.2026 Written by: Dannilla Morgan, CPC, CBCS The reliability of clinical documentation is crucial as it creates a fundamental connection between a patient’s true health condition and the data that represents it within the risk adjustment framework. As the sector shifts away from volume-based…