Healthicity Blog

Whether you need help making informed decisions for your organization regarding the RAC audits, or need a refresher on ethical e/m coding, this list of super useful audit resources has it all.

“CPT currently defines a critical illness or injury as an illness or injury that acutely impairs one or more vital organ systems such that there is a high probability of imminent or life threatening deterioration in the patient's condition.” -ACEP.Org.

It’s the 21st Century and continuous education is more important than ever. In the last 20 years, we’ve experienced an explosion in information, technology, and our already dynamic industry has rapidly evolved (robots, EHRs, HIPAA, so many compliance rules!).

1. 10 largest HIPAA settlement fines - “HHS' Office for Civil Rights is becoming more aggressive in enforcing HIPAA regulations. In the first seven months of 2016 alone, HHS recorded close to $15 million in settlement payments.

One of the most important audit tasks is delivering the post-audit results. Our goal as auditors, is to give feedback in a way that leads to improvements in accuracy and documentation.

According to OCR, Care New England Health System (CNE) has common ownership or control of over 8 covered entity hospitals or clinics in Rhode Island and Massachusetts.

As we’ve talked about recently, when it comes to compliance violations, incorrectly managing Business Associates is often the culprit behind larger compliance violations. Like the recent settlement where OHSU was nailed for 2.7 Million Dollars.

Anyone who’s ever watched an episode of Scrubs has seen residents step into the role of primary caregiver. Those of us who work in Healthcare know that T.V. is fictional and in no way accurately represents our real day-to-day in the industry.