Coding and Auditing - Doctors Management Coding and Auditing - Doctors Management

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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2018 Year End Wrap Up

By | 2018, Coding and Auditing
2018 Year End Wrap Up Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC Partner and Vice President of Compliance at DoctorsManagement This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement. Now that we are quickly approaching the end of...
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