Media Summary: Let's take a dive into the components of a level 5 office visit based on the 2021 guidelines! E&M ... In medical coding and compliance, attention is often focused on overcoding due to its association with fraud, waste, and abuse. I was told once that coders are like the weathermen, they are all looking at the same data and coming up with different outcomes.

Why Cpt Code 99205 Is A Big Problem For Providers Subject To Audit - Detailed Analysis & Overview

Let's take a dive into the components of a level 5 office visit based on the 2021 guidelines! E&M ... In medical coding and compliance, attention is often focused on overcoding due to its association with fraud, waste, and abuse. I was told once that coders are like the weathermen, they are all looking at the same data and coming up with different outcomes. Improper and exaggerated medical coding have led the government to increase its investigations into physician payments from ... Modifier 59 (Distinct Procedural Service) continues to face intense scrutiny in 2026 due to widespread misuse, triggering Medical practices are concentrating on critical practice changes in 2020 and 2021. However, it is

We've always done it this way” sounds harmless… until the Now that things are calming down from the pandemic, In today's episode, we're chatting with Shannon DeConda, who's not just the president of NAMAS but also the mind behind the ... Orthopedic revenue loss in 2026 is being driven by coding errors, documentation gaps, modifier misuse, and missed ... In this episode of the CodeCast podcast, Terry is responding to many listeners' requests for Are you considering the transition from coder to

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Why CPT Code 99205 is a BIG Problem for Providers: Subject to Audit
Prolonged Services: An Audit Trap?
What is a level 5 office / outpatient visit in medical coding? 99215 & 99205 explained.
Undercoding Is Now a Compliance Risk Providers Can’t Ignore
MEDICAL CODING AUDITING FOR OPPORTUNITY - Improving Revenue Capture Through Audits
What You Need to Know Now About Government Billing and Coding Audits
Modifier 59 Audits Denials and Post-Op Pain Injections
Costly CPT and ICD10 Mistakes
Has your practice ever had a patient MR audit?
RADV Audits: What Are They & Why Are They Exploding?
Episode 112 | Cover Your Assets: Bad Advice, Billing Risks & Compliance Training to Keep You Safe
Best Practices: How to Avoid an Audit
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Why CPT Code 99205 is a BIG Problem for Providers: Subject to Audit

Why CPT Code 99205 is a BIG Problem for Providers: Subject to Audit

Are you a medical

Prolonged Services: An Audit Trap?

Prolonged Services: An Audit Trap?

The

What is a level 5 office / outpatient visit in medical coding? 99215 & 99205 explained.

What is a level 5 office / outpatient visit in medical coding? 99215 & 99205 explained.

Let's take a dive into the components of a level 5 office visit based on the 2021 guidelines! #medicalcoding #medicalcoder E&M ...

Undercoding Is Now a Compliance Risk Providers Can’t Ignore

Undercoding Is Now a Compliance Risk Providers Can’t Ignore

In medical coding and compliance, attention is often focused on overcoding due to its association with fraud, waste, and abuse.

MEDICAL CODING AUDITING FOR OPPORTUNITY - Improving Revenue Capture Through Audits

MEDICAL CODING AUDITING FOR OPPORTUNITY - Improving Revenue Capture Through Audits

I was told once that coders are like the weathermen, they are all looking at the same data and coming up with different outcomes.

What You Need to Know Now About Government Billing and Coding Audits

What You Need to Know Now About Government Billing and Coding Audits

Improper and exaggerated medical coding have led the government to increase its investigations into physician payments from ...

Modifier 59 Audits Denials and Post-Op Pain Injections

Modifier 59 Audits Denials and Post-Op Pain Injections

Modifier 59 (Distinct Procedural Service) continues to face intense scrutiny in 2026 due to widespread misuse, triggering

Costly CPT and ICD10 Mistakes

Costly CPT and ICD10 Mistakes

Medical practices are concentrating on critical practice changes in 2020 and 2021. However, it is

Has your practice ever had a patient MR audit?

Has your practice ever had a patient MR audit?

Administrators, coders, and

RADV Audits: What Are They & Why Are They Exploding?

RADV Audits: What Are They & Why Are They Exploding?

There's a hot

Episode 112 | Cover Your Assets: Bad Advice, Billing Risks & Compliance Training to Keep You Safe

Episode 112 | Cover Your Assets: Bad Advice, Billing Risks & Compliance Training to Keep You Safe

We've always done it this way” sounds harmless… until the

Best Practices: How to Avoid an Audit

Best Practices: How to Avoid an Audit

Brace yourself: medical

TPE Audit Process - Navigating the Medicare Targeted Probe & Educate Reviews

TPE Audit Process - Navigating the Medicare Targeted Probe & Educate Reviews

Now that things are calming down from the pandemic,

The Road to Becoming a Medical Auditing Specialist: A Conversation with Shannon DeConda

The Road to Becoming a Medical Auditing Specialist: A Conversation with Shannon DeConda

In today's episode, we're chatting with Shannon DeConda, who's not just the president of NAMAS but also the mind behind the ...

5 Orthopedic Coding Audit Priorities Before Q3 2026 | Reduce Denials & Protect Revenue

5 Orthopedic Coding Audit Priorities Before Q3 2026 | Reduce Denials & Protect Revenue

Orthopedic revenue loss in 2026 is being driven by coding errors, documentation gaps, modifier misuse, and missed ...

Auditing Tips for Auditors

Auditing Tips for Auditors

In this episode of the CodeCast podcast, Terry is responding to many listeners' requests for

MEDICAL CODER TO MEDICAL AUDITOR TRANSITION - WHAT IT TAKES TO GET INTO MEDICAL CODING AUDITING

MEDICAL CODER TO MEDICAL AUDITOR TRANSITION - WHAT IT TAKES TO GET INTO MEDICAL CODING AUDITING

Are you considering the transition from coder to

CodeCast Podcast: Pitfalls of An E/M Audit: Chief Complaint and HPI

CodeCast Podcast: Pitfalls of An E/M Audit: Chief Complaint and HPI

Failing an