Healthicity Blog

The Health and Human Services Office of Inspector General (OIG) recently published General Compliance Program Guidance¹, and one of the many important sections in the document includes a list of a compliance officer’s primary responsibilities. Among these primary responsibilities is the development...

Understanding the importance of medical necessity in your compliance program is, well, a necessity. 

Happy Compliance New Year! 

A new year always brings new codes and changes, and our upcoming webinar is your front-row seat to some of the most important updates. 

It’s the time of year for gift giving!

Q

What about when there is no sufficient information to substantiate an allegation. What is the best practice for documentation purposes?

If you haven’t had the time yet to read all 90+ pages of the OIG’s New Compliance Program Guidance, we’ve got a great place for you to start.

Most medical coders, auditors, and compliance professionals are aware of the Centers for Medicare and Medicaid Services (CMS) Targeted Probe and Educate (TPE) program. It is designed to help providers and suppliers reduce claim denials and appeals through one-on-one help.