Healthicity Blog

The Centers for Medicare & Medicaid Services’ Targeted Probe and Educate (TPE) program is one of the processes that Medicare administrative contractors (MACs) can use when providers are selected by medical review. CMS claims this review process is designed to help providers reduce claim denials and...

The OIG added several new items to its work plan in April 2024, let’s review three key updates.

Data, data, everywhere – what’s a compliance professional to do? 

Recently, at the Health Care Compliance Association’s 28th Annual Compliance Institute, Robert K. DeConti, Chief Counsel to the HHS Inspector General provided one of the keynote addresses. He used the opportunity to tell a story of a hero’s journey. The hero in the story is a compliance officer...

“Providing appropriate education and training is a vital component of an effective compliance program.” 

Picture this: you design and execute what seems like the perfect compliance program. 

It’s Springtime. The bees are buzzing and flowers blooming. It is also the time of year when coders, auditors, and compliance professionals are out in full force, learning all they can…at two of the industry’s main event. 

Medical record addendums, amendments, corrections, and late entries.