Healthicity Blog

Many of us look forward to autumn as cooler temperatures arrive and the leaves on the trees begin to change. Coders might look forward to autumn for one more reason: ICD-10 coding changes take affect October 1 every year! This means it’s important to review new codes, revised codes, deleted codes,...

According to the Centers for Disease Control and Prevention (CDC), approximately 1 in 5 Americans suffer from chronic pain, while about 1 in 14 have suffered from high-impact chronic pain which results in substantial restriction to daily activities.¹

It does not appear that the OIG took a summer break. They were busy adding new items to their Work Plan in August. We’ve highlighted a select number of them below.

With physician and clinician shortages in healthcare, many entities are turning to non-physician practitioners (NPPs) such as nurse practitioners or physician assistants. Often, NPPs and physicians provide services to the same patient on the same day.

In June 2024, a provider organization settled False Claims Act allegations with the government by agreeing to pay $14.9 million. Improper billing of chronic care management (CCM) was among the alleged improper billing schemes.

'Exclusion checks, exclusion checks, exclusion checks,’ what is it all about? 

Ambulatory Surgery Centers (ASC) are found throughout the country. Physicians often like them because they hold potential for increased efficiencies over a traditional hospital-based operating room. Patients often like them because they are in and out within a day, which makes scheduling and...