Healthicity Blog

Medical necessity matters. The concept of medical necessity (or lack thereof) is what drives much of the multi-million dollar whistleblower suits and healthcare provider settlements we see in the healthcare industry today. Corporate integrity agreements often spell out requirements placed on...

Welcome back to Part 2 of our HIPAA OCR Audit Series (you can find Part 1 here) where I answer the next twelve questions taken from our most recent HIPAA webinar, "OCR (HIPAA Stage 2) Audits: What to Expect and How to Prepare."

The HIPAA OCR audits are underway. If your organization is targeted for an audit, you’ll only be given 10 days to upload the requested documents and reply to inquiries (there are over 1300 elements).

When you run into common auditing problems, do you ever wonder what other auditors are doing?

The RAC program has been controversial ever since its inception when the Centers for Medicare and Medicaid Services (CMS) instituted the program to identify and correct Medicare improper payments through the detection of overpayments and underpayments made on healthcare claims.

Welcome to part three of this three-part series where I discuss six important lessons we can all learn from the OIG’s audits of physician E/M services.

“Use your words,” my mom used to say. And, as with most things, she was right. Words are important.

Welcome to part two of this three part series where I discuss six important lessons we can all learn from the OIG’s audits of physician E/M services.