Fraud Blocker

Billing and Coding Partnership

 

As a member of Provider Practice Essentials, you have access to several tools to help you maximize your practice revenue.  The following billing and coding tools have been shared by the National Alliance of Medical Auditing Specialists (NAMAS).  This organization is the premier organization for the training of Certified Professional Medical Auditors (CPMA).  They created the certification examination with the American Academy of Professional Coders and continue to be the only official certifying body for their organization.  As partners in healthcare delivery, Provider Practice Essentials and NAMAS are able to provide you with the most current and up to date resources for you to maximize your coding, protect your charting from auditing and review, and in turn, maximize your billing and revenue in whatever setting you practice.

 

The tools below will help you meet the maximum collection requirements for each type of patient that you see!

Audit Grids

Auditors Grid

ER & CC Audit Grid

 

Audit Tools

Cardio

ENT

Eyes

General Multi System

GU-Female

GU-Male

Hem-Lymph-Immuno

Musculoskeletal

Neuro

Psych

Respiratory

Skin

Surgical Auditing Tool

 

 

Coding and Billing Guidelines

1995 documentation guidelines

1997 documentation guidelines

CMS Guidelines – Aug 2017 Revision

FY-2018 OIG Work Plan