Search found 446 matches

by admin
Wed Jun 05, 2019 10:38 am
Forum: Medical Auditing Forum
Topic: NAMAS Webinar Q&A: Defending Your Audit Findings 06/04/19
Replies: 0
Views: 43

NAMAS Webinar Q&A: Defending Your Audit Findings 06/04/19

Below are the questions received during our recent webinar, Defending Your Audit Findings, originally presented on June 4, 2019. These questions have been answered by the webinar presenter, Shannon DeConda, CPC, CPC-I, CPMA, CEMC, CEMA, CRTT. Question 1 Where can I find the meaning of Best Practice ...
by admin
Mon Jun 03, 2019 9:06 am
Forum: Medical Auditing Forum
Topic: Resident Guidelines
Replies: 2
Views: 79

Re: Resident Guidelines

Is this a situation where the resident is moonlighting? CMS does have guidance on that scenario and they state if a resident is working outside the facility where the intern or resident has the training program all of these requirements must be met: ● The services are identifiable physician services...
by admin
Wed May 22, 2019 4:00 pm
Forum: Medical Auditing Forum
Topic: NAMAS Webinar Q&A: Auditing Prolonged Services
Replies: 0
Views: 50

NAMAS Webinar Q&A: Auditing Prolonged Services

Below are the questions received during our recent webinar, Auditing Prolonged Services, originally presented on May 22, 2019. These questions have been answered by the webinar presenter, Stephanie Allard, CPC, CEMA, RHIT. Question 1: What type of documentation would you expect to see for billing no...
by admin
Wed May 22, 2019 11:28 am
Forum: Medical Auditing Forum
Topic: NAMAS Webinar Q&A: Beyond EHR Template Abuse
Replies: 0
Views: 60

NAMAS Webinar Q&A: Beyond EHR Template Abuse

Below are the questions received during our recent webinar, Beyond EHR Template Abuse originally presented on May 22, 2019. These questions have been answered by the webinar presenter, Dr. Michael Warner, DO, CPC, CPCO, CPMA and AAPC Fellow. Question 1: I have a question regarding how to decide to g...
by admin
Wed May 15, 2019 9:04 am
Forum: Medical Auditing Forum
Topic: NAMAS Webinar Q&A: TCM & CCM: What You Need to Know
Replies: 0
Views: 79

NAMAS Webinar Q&A: TCM & CCM: What You Need to Know

Below are the questions received during our recent webinar, TCM & CCM: What You Need to Know, originally presented on May 14, 2019. These questions have been answered by the webinar presenter, Aimee Wilcox, CPMA, CCS-PCST, MA, MT. Also, here is the link to the CCM FAQ that Aimee referred to in the w...
by admin
Mon Apr 15, 2019 3:11 pm
Forum: Medical Auditing Forum
Topic: NAMAS Webinar Q&A: Specialty Auditing: OB/GYN 04/02/19
Replies: 0
Views: 116

NAMAS Webinar Q&A: Specialty Auditing: OB/GYN 04/02/19

Below are the questions received during our recent webinar, Specialty Auditing: OB/GYN originally presented on April 2, 2019. These questions have been answered by the webinar presenter, Grant Huang, CPC, CPMA. Question 1: Auditing an OB flowsheet would be very helpful for those payers that bill per...
by admin
Fri Mar 01, 2019 10:48 am
Forum: Medical Auditing Forum
Topic: Subspeciality codes
Replies: 1
Views: 172

Re: Subspeciality codes

Hello, To my knowledge, there are no subspecialty codes per se. There are some specialty codes that break out some recognized subspecialty codes. (for example, there is a specialty code for hand surgeon that is independent of the orthopaedic specialty code) Your question has been answered by Pam Van...
by admin
Thu Feb 21, 2019 3:24 pm
Forum: Medical Auditing Forum
Topic: Crisis Codes 90839, 90840
Replies: 2
Views: 221

Re: Crisis Codes 90839, 90840

Hello, While the code indicates “physician or other qualified professional” in the CPT introduction for these codes, it should be expected that a provider who normally provides psychotherapy would be providing and billing for this service. Your question has been answered by J. Paul Spencer, CPC, COC
by admin
Mon Feb 11, 2019 8:07 am
Forum: Medical Auditing Forum
Topic: CPT for crushing concha bullosa endoscopically (ENT question)
Replies: 1
Views: 169

Re: CPT for crushing concha bullosa endoscopically (ENT question)

Hello, In my opinion I would not use 30117 as the RVUs are significantly higher than for 31240. There is currently no code that more appropriately describes the crush method, in which no tissue excision occurs. The payers could argue this is less work and thus not want to reimburse using 31240, but ...
by admin
Thu Feb 07, 2019 1:33 pm
Forum: Medical Auditing Forum
Topic: 2019 Documentation Changes
Replies: 1
Views: 193

Re: 2019 Documentation Changes

Hi there, The work of collecting the HPI is expected to be the work of the provider, but there is nothing to preclude auxiliary staff from recording the information gathered by the provider. Here is a good article resource that our NAMAS president, Shannon DeConda, published with RACMonitor in Janua...