Shannon Deconda
President & Founder of NAMAS
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Shannon brings more than 16 years of multi-specialty auditing and coding experience to DoctorsManagement clients. Using her coding and auditing expertise, she helps practices optimize business processes and maximize reimbursements. Shannon identifies missed revenue opportunities for clients as well as coding habits that may put the practice at risk. Shannon then trains practice providers and staff based on their specific areas of need, empowering them with techniques that help them receive full and timely reimbursement for all the services provided to patients. Her clients often realize improvements in cash flow as a result of the insight and education they receive.
Through her work at NAMAS (National Alliance of Medical Auditing Specialists), an organization that provides education for medical documentation auditing, compliance and exam preparation for the AAPC’s national auditing credential CPMA™ (Certified Professional Medical Auditor), Shannon develops medical auditing training programs that are delivered across the country by a team of experts. The programs and curriculums reflect Shannon’s hands-on training philosophy and create an easy-to-learn atmosphere in the classroom. Shannon and her NAMAS team of instructors have trained nearly 3,000 medical auditors including Recovery Auditor Contractors (RAC), Center for Medicare & Medicaid Services (CMS) auditors, and Department of Justice (DOJ) auditors.
Significant & Separate: Keys to a Happy 25
Modifier 25 is a repeat problem year over year, and it's a little known fact that changes to NCCI edits for the use of 25 modifier and procedures with 0-10 global occurred 1-1-2021.
Therefore, practices may not be using the modifier appropriately. This session will not only provide the updates, but will also FINALLY make 25 modifier an easy validation process with a 2 point documentation review process. This session includes hands-on sample learning.
Defusing Denials
As an operating expense, denials are one of the costliest as they represent duplicative work and in many cases repeated work that could have been prevented. There is a big picture to be considered as denials for your practice must be analyzed for better understanding as the scale and source of the volume, the type of denials whether billing or documentation, and then proactive measures that can alleviate future denials
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