Healthicity Blog

The DOJ recently published this document, which provides additional insight into their practices of evaluating compliance programs.

Back in the 1980’s, Larry Plutko started his career in Healthcare and by the 90’s found himself fascinated by compliance. In 2008, he accepted a position of compliance officer in Austin, Texas, where he became an important career mentor to me.

What’s the difference between a regular coder and an exceptional coder? Well, an exceptional coder is dedicated to giving his/her all, everyday.

1. The University of California at Riverside’s Pilot Payroll Certification System Did Not Provide Accountability Over Payroll Charges to Federal Awards (A-04-13-01026) -

When we hear of doctors, hospitals and other healthcare providers settling False Claims Act allegations with the government, we frequently learn that the accusations were first raised by a current or former employee or another healthcare provider such as a physician.

Attendees of our recent webinar, An Expert's Tips and Best Practices for Using 99211, had a lot questions about the use of the 99211 code that we didn't have time to answer during the presention. As promised, here are the answers to the questions we didn't get to.

1. OIG report: Vidant Medical Center Incorrectly Billed Medicare Inpatient Claims with Severe Malnutrition (A-03-15-00011) - Vidant Medical Center (the Hospital), in Greenville, North Carolina, complied with Medicare billing requirements for diagnosis codes 261 and 262 for 11 of the 100 claims that...

Developing an effective audit plan can be a daunting task. Despite this, some medical practices still choose to assign these crucial responsibilities to someone whose plate is already overflowing.