Critical Care Billing: It’s the Little Things

  February 19, 2021 | By David Carpenter   Critical care billing is relatively simple. Documentation requires three items – The patient is critically ill. What the provider is doing to treat or prevent organ system failure or compromise. How much time the provider spent providing critical care. While critical care billing is relatively simple,…

Be Specific

  April 17, 2020 | By Priscilla J. Alfaro, MD, FAAP, CPC, CPMA, COC, CFE ICD-10 was finally officially implemented on October 1, 2015. One of the intents of moving to ICD-10 was to enable and encourage reporting diagnoses with a higher level of specificity. Many payers expect claims to contain specific codes to support the…

Auditing & the Attorney Client Privilege: Need for audits and incentives to comply/disclose to government

  March 13, 2020 | By Jesse Overbay, JD Readers of this newsletter and followers of the incredibly talented individuals on the NAMAS team know that conducting internal monitoring and auditing remains one of the seven fundamental elements of an effective compliance plan.[1] Monitoring and auditing within a medical practice or hospital system encompasses many…