Healthicity Blog

On our latest episode of Compliance Conversations, we’re taking an in-depth look at the revenue cycle and coding. We’re joined by Stephanie Perry, the outpatient medical supervisor for e4health, as she shares insights from her 12 years of experience in coding, auditing, training, and leadership...

Reporting incidents of potential fraud should be on every compliance professional’s radar (because it’s definitely on the OIG’s).

It is probably not intentional, but it sure seems like there is a theme to many of the U.S. Department of Health and Human Services Office of Inspector General (OIG) Work Plan items added in October 2023. 

Traditionally, as the calendar year approaches its end, many compliance programs evaluate their annual audit plan to assess its effectiveness and revise the plan as needed for the following year. Some compliance programs may do this at other times of the year. When it happens is not as essential as...

The OIG and the health care community share the goal of protecting patients from harm, which is why the OIG created new Adverse Events toolkits. These toolkits aim to advance patient safety through a discussion of methodological considerations when designing studies about patient harm and by...

It’s Halloween time and things can be scary. There are times when compliance can be scary too.

It's that time of year again – compliance programs are putting the finishing touches on their annual audit plan for the year ahead. Wrangling those fresh and familiar compliance risks is like a puzzle – you've got to be organized and clever to piece together a winning plan.

Medicare Advantage Compliance Under the Spotlight: Lessons from Cigna's $172 Million Settlement

$172 million is a lot of money. It's also the amount that the Cigna Group recently agreed to pay to resolve allegations it violated the False Claims Act in relation to its Medicare Advantage (MA) plan...