Healthicity Blog

During our recent webinar, The Five Problem Areas in E/M Audits, many of you posted really interesting questions.

The OIG Work Plan for 2016 reflects back on three years of achievements earned through the success of their many initiatives and covers the audit enforcement priorities for 2016. There are three new items and one revised item.

Evaluation and management (E/M) services are “visits performed by doctors to assess and manage a beneficiary's health,” according to the OIG’s website.

Q1: What do you know about this new HIPAA Audit program?

CMS will be conducting Stage 2 HIPAA Privacy and Security Audits throughout the year, based on their new, recently published protocol.

You already know the importance of Risk Analysis for your organization: It’s a HIPAA and Meaningful Use necessity, and a smart way to protect valuable PHI from getting into the wrong hands.

As a Compliance Officer, you’re charged with the complicated task of creating and maintaining compliance. You manage a thousand moving parts, often while fighting a constant, uphill battle to prove the legitimacy of your relatively new, though crucial, position.

Recently, federal auditors reported that the University of Minnesota Medical Center needs to refund more than $3.2 million in estimated overpayments for services that were allegedly billed incorrectly to the Medicare program.