Healthicity Blog

This checklist distills the top takeaways from our recent webinar on hospital audit planning, offering practical steps and expert insights to help your team build a stronger, more strategic audit program.

Healthcare compliance incidents can emerge at any time, like an anonymous report of an over payment, suspicious ePHI access alert, or a whistleblower allegation of suspected fraud. For compliance teams, managing these incidents quickly, accurately, and within federal and other regulations is...

With the launch of the CMS TEAM Model, nearly 1,000 hospitals across the U.S. are entering a new era of accountability, care coordination, and financial risk. For the first time in recent history, CMS is mandating that selected hospitals take full responsibility for the cost, quality, and outcomes...

An eye care organization in Pennsylvania recently agreed to pay $790,000 to resolve allegations of submitting improper Evaluation & Management (E&M) claims alongside bilateral eye injections. The violations, which occurred between 2018 and 2025, involved billing for same-day services in a way that...

When patients log in to view their lab results or schedule appointments, they're doing more than accessing a healthcare portal—they’re engaging in a complex web of client-side interactions that can quietly expose protected health information (PHI) to third parties. 

Thank you for attending our recent webinar on Incident-To Billing. 

CMS is tightening enforcement of its hospital price transparency rule, with potential penalties exceeding $2 million per year per hospital. In the latest Compliance Conversations podcast, Dave Cardelle joins CJ Wolf to unpack the complexities of compliance and the real opportunities hidden within...

If your practice is still relying heavily on traditional E/M codes, you might be leaving serious revenue on the table. In a recent Compliance Conversations podcast episode, Maya Turner, a nationally certified coding expert and healthcare consultant, joined CJ Wolf to talk about how value-based care...