Guest Author: Shannon DeConda

Shannon DeConda, CPC, CPC-I, CEMC, CMSCS, CPMA, CMPM, CPMN

Welcome to the archived list of all medical billing articles written and posted to the site by our guest author. All articles are listed below and categorized by date, newest to oldest. Click any article link below to read the entire article.

More About Ms. DeConda:

Shannon DeConda is the Founder and President of the National Alliance of Medical Auditing Specialists (NAMAS) as well as the President of Coding & Billing Services and a Partner at DoctorsManagement, LLC.

Ms. DeConda has over 16 years of experience as a multi-specialty auditor and coder. She has helped coders, medical chart auditors, and medical practices optimize business processes and maximize reimbursement by identifying lost revenue.

Since founding NAMAS in 2007, Ms. DeConda has developed the NAMAS CPMA® Certification Training, written the NAMAS CPMA® Study Guide, and launched a wide variety of educational products and web-based educational tools to help coders, auditors, and medical providers improve their efficiencies.

Ms. DeConda is an experienced presenter and educator and a sought-after speaker. She has her Coding Certification through both the AAPC and PAHCS.

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Demonstrating the Complexity of Care

SCENARIO: So, you are working at a multi-specialty practice that recently employed a urologist. As the Lead Medical Auditor and a member of the Corporate Compliance Team, you begin to worry about the chart audits as you have no members on your team that have worked within this specialty before. Take a deep breath – and remember that the largest volume of claims that the urologist will bill are E&M services. Regardless of the specialty of any medical practice, each will utilize Evaluation and Management (E&M) services in greater volumes than surgical services. Specialty-specific trained medical auditors are well versed in trudging through records to note the disease processes and …

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Posted By: Shannon on February 18th, 2017 | No Comments