Healthicity
Audit findings not only inform financial accuracy, they shape provider education, billing integrity, risk scoring, and long-term compliance trends. The quickest way to reduce variability across internal auditors, coders, and external...
Healthicity
Nursing homes are facing a new level of scrutiny. Not just around billing or staffing, but around whether critical safety events are being captured, investigated, and reported.
Healthicity
Many organizations believe they are handling compliance issues effectively — until they have to prove it.
Healthicity
In this month’s Deeper Than the Headlines, CJ Wolf breaks down a federal fraud case involving a physician who pled guilty to submitting false claims related to genetic testing. The doctor, a co-owner and advisor to a diagnostic lab in Georgia, conspired with others to generate medically unnecessary...
Healthicity
Critical care isn’t confined to the ICU anymore.
Healthicity
For large and growing health systems, policy management is rarely simple. As new facilities are acquired, service lines expand, and regulatory expectations evolve, keeping policies consistent across the enterprise becomes a...
Healthicity
In September of 2024 a surgical center and two physician groups agreed to pay approximately $12.76 million to resolve alleges they violated the False Claims Act because of improper financial relationships between the surgical center and the...
Healthicity
Telehealth felt simple during the public health emergency (PHE). It wasn’t. We were operating under temporary flexibilities that masked how complex telehealth really is under Medicare statute. In our newest Compliance Conversations, CJ Wolf talks with Keisha Wilson, founder of KW Advanced...
