Healthicity Blog

Do you know when it’s appropriate to add a modifier 25? We’ve created a free infographic that provides a visual way to help you remember when it’s appropriate to add a modifier 25 and when it is not.

Auditing and Monitoring: One of the 7 Elements of an Effective Compliance Program

The OIG frequently creates and shares short videos about important compliance topics in their series, “Eye on Oversight.” Their most recent release demonstrates the importance of OIG Audits.

You want to improve your compliance program but just don’t have the time for a total overhaul at the moment. Well, have no fear, because there are a few small tweaks you can make that can have a huge impact on your program. And the good news is that it’s easier than you think.

1. Pitt County Behavioral Health President Pleads Guilty to Medicaid Fraud Conspiracy and Perjury Charges - “The United States Attorney for the Eastern District of North Carolina John Stuart Bruce Office announced that yesterday in federal court, Shephard Lee Spruill, II, 46, of Winterville, North...

Sometimes, when I mention coding and documenting Transitional Care Management, coders and auditors will get a crazy look in their eye that can best be described as, “subtle fear.”

But don’t panic, it’s easier than you think!

Sensegiving in Change Management

Recently, I was talking with a friend, a long-time compliance colleague. As we grew more comfortable in the conversation, he confided in me some current frustrations in his compliance leadership role.

For this episode of Compliance Conversations, I sat down with Chad Peterson, a senior consultant at a large hospital, in their professional coding and reimbursement group. He educates physicians, mid-level providers/ advanced practice providers and even ancillary staff about E/M coding.

1. Vanderbilt University Medical Center pays $6.5M to resolve Medicare fraud allegations: “Vanderbilt University Medical Center paid $6.5 million to settle a whistleblower suit alleging VUMC committed Medicare fraud between 2003 and 2011, according to a Tennessean report.