2019 Archives - DoctorsManagement 2019 Archives - DoctorsManagement

HIPPA 101: A Refresher

By | 2019, Coding and Auditing
HIPPA 101: A Refresher Kelly Ogle, BSDH, MIOP, CMPM, CHIP Director of OSHA and HIPPA Services for DoctorsManagement, LLC This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. Your mother always said, "if they told you to jump off a...
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What to Know About the New CMS Preclusion List

By | 2019, Coding and Auditing
What to Know About the New CMS Preclusion List Cason Liles Sales Associate for Exclusion Screening, LLC This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. Beginning April 1, 2019, CMS's new Preclusion List will go into effect subsequently barring...
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Voluntary Repayments

By | 2019, Coding and Auditing
Voluntary Repayments Daniel F. Shay Attorney at the Law Offices of Alice G. Gosfield & Associates, P.C. This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. Should you volunteer to repay money from Medicare or other federal healthcare programs if...
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How to Correctly Unbundle NCCI Code Pair Edits

By | 2019, Coding and Auditing
How to Correctly Unbundle NCCI Code Pair Edits Aimee Wilcox, CPMA, CCS-P, CST, MA, MT Director of Content for Find-A-Code This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. Medicare creates and maintains the National Correct Coding Initiative (NCCI) edits...
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A Friendly Coding Reminder from AAPC: Separately Report a “Separate Procedure” with Confidence

By | 2019, Coding and Auditing
A Friendly Coding Reminder from AAPC:  Separately Report a "Separate Procedure" with Confidence John Verhovshek, MA, CPC Managing Editor, AAPC This article originally appeared in AAPC's Knowledge Center, and is reprinted with permission. Many procedures in the CPT® code book are designated "separate procedures," but that doesn't mean you can report those procedures separately in every...
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Medical Necessity vs. Documentation for Inpatient Services

By | 2019, Coding and Auditing
Medical Necessity vs. Documentation for Inpatient Services Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA Senior Compliance Consultant for DoctorsManagement, LLC Auditing the documentation of inpatient and observation E/M services can often be challenging. Many of the notes we are provided for review include so much information, that the note feels like a short novel...
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What is Virtual Communication (G071)?

By | 2019, Coding and Auditing
What is Virtual Communication (G0071)? Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT Partner of DoctorsManagement and President of NAMAS Beginning January 1st, 2019 all of our RHC and FQHC organizations have a new CPT code to consider implementing for their Medicare populous (check per Advantage Plan Administration for coverage). In its current form, this code...
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How does MIPS change in 2019?

By | 2019, Coding and Auditing
How does MIPS change in 2019? The CMS decision to delay its momentous E/M coding changes to 2021 have rightly garnered most of the attention since the agency released its 2019 Medicare Physician Fee Schedule (PFS) final rule, but the document also includes changes to its Merit-based Incentive Payment System (MIPS). CMS will finalize most...
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