Healthicity
No healthcare provider wants to receive a third-party audit notice—but many will. Whether it’s Medicare, Medicaid, or a commercial payer, understanding how to respond is key to protecting your organization.
Healthicity
The HCCA’s annual Compliance Institute (CI) is a hub for all things health care compliance. This year the event will be held in Las Vegas, NV from April 28- May 1, 2025.
Healthicity
We are proud to announce Melinda Hawk, Director of Revenue Cycle at The Care Team Home Health and Hospice, as the winner of its inaugural Revenue Cycle Manager of the Year Award. This honor celebrates Melinda’s exceptional contributions to revenue cycle management and her decades-long commitment to...
Kristen Poat
Education related to documentation in the patient electronic medical record (EMR) is an area of health information management overdue for a tune-up. Lack of regular and formal education in this area poses a problem for healthcare providers who are expected to appropriately record information in the...
Healthicity
When healthcare organizations find themselves under a Corporate Integrity Agreement (CIA), the process can feel overwhelming. But there’s one partner that plays a pivotal role in navigating the requirements: the Independent Review Organization, or IRO.
Brian Burton
Every strong compliance program starts with the ability to identify and act on potential issues — but turning those reports into trackable, manageable actions can be where things start to fall apart.
CJ Wolf
In this episode of Deeper Than the Headlines , we take a closer look at the recent case involving a physician group and its owner who agreed to pay over $152,000 to resolve civil allegations of False Claims Act violations. At the heart of the issue? Improper billing for telehealth services during...
Kristen Poat
For years, spreadsheets have been the go-to tool for compliance teams tracking 60-Day Rule adherence. But in today’s complex healthcare environment, manually updating spreadsheets just doesn’t cut it anymore. The risks are too high—missed deadlines, undetected overpayments, and noncompliance...
