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Tag Archives: medical auditing

What Time Does Not Allow

CPT, E/M Coding & Auditing, Evaluation & Management: 2021 & Beyond, Today's TakeBy NAMASJune 1, 2022

You know, most of the training I see out there, and even most of the training that I’m asked to do on E&M 2021 documentation guidelines surrounds MDM, so a lot of it isn’t even on time-based. So, set your watch. Let’s spend just a few minutes talking about…time. I’d like to start off by…

Navigating the UPIC Investigation from a Compliance Consultant’s Perspective

ComplianceBy NAMASMay 20, 2022

  May 20, 2022 | By Toni Elhoms, CCS, CPC, CPMA, CRC Over the past year and a half, I have seen a significant increase in the volume of Unified Program Integrity Contractor (UPIC) investigations taking place in private physician practices.  UPICs work on behalf of CMS to perform program integrity functions like detecting fraud,…

Feds Moving Quickly Into Recoupment Audit Mode

Compliance, COVID-19, E/M Coding & AuditingBy NAMASMay 7, 2021

  May 7, 2021 | By Frank Cohen, Director of Analytics and Busines Intelligence It looks like the feds are moving quickly into recoupment audit mode in regards to telehealth and other services reported during the COVID-19 declared Public Health Emergency (PHE).  Starting sometime the end of the first quarter of 2020, HHS came out…

2021 E&M Overview Webinar Review

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASMay 19, 2020

Leave the Tylenol at home — you won’t need it for this webinar! What a refreshing webinar this is- not only in this extraordinary season we are currently in, doesn’t make us feel lost, or hanging without help. Shannon Deconda presents in a way that even the beginners of us, to the most experienced, are…

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