Article Reference Code: NAMAS.09.19.2025 Translating Operative Reports into Audit Readiness Written by: Toni Elhoms Auditing surgical services is one of the most complex and high-stakes areas of healthcare compliance. Surgeries are typically high-dollar claims, ripe for coding errors, clinical documentation gaps, and regulatory scrutiny. One misstep can trigger denials, repayment demands, fraud allegations, or even…
Article Reference Code: NAMAS.07.11.2025 Understanding Coding, Documentation, and Common Pitfalls in Moderate Sedation Services Written by: Aimee Wilcox Moderate (conscious) sedation is an important component in enhancing patient comfort and cooperation during various medical and dental procedures. It is a drug-induced state during which patients remain conscious and able to respond to verbal instructions but…
Understanding New Audio-Only and Brief Telehealth E/M Codes: Documentation, Compliance, and Medicare Guidelines Written by: Gabriel Aponte Moberg The audio-only codes 98008 through 98015 require more than ten minutes of synchronous, real-time verbal communication. These services may be selected based on either total time or medical decision-making (MDM). Each code corresponds to specific MDM levels and…
Billing Compliance Conflict? Navigate It with Confidence Billing Instructions Raising Concerns? Here’s a Pro-Level Playbook Written by: Toni Elhoms | Alpha Coding Experts In the complicated world of pay-and-chase healthcare reimbursement, medical billing is not just a back-office support function, but rather a regulatory landmine for healthcare organizations! From Stark Law to the False Claims Act…