In the healthcare industry, accurate medical coding is crucial for ensuring quality patient care, proper billing, revenue integrity, and compliance. One powerful tool that can significantly enhance the auditing process is the checklist.
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Preventing Improper Payments: Insights from the Field
In the latest episode of Compliance Conversations, CJ Wolf welcomes Nancy Clark, a seasoned expert in healthcare coding and revenue cycle management. Nancy shares insights from her extensive experience as the Senior Manager, Health Care Services as EisnerAmper, where she works to educate providers...
October OIG Updates: Key Areas to Watch
Deeper Than the Headlines: Alleged EGD Billing Missteps from Bariatric Surgeon
In a recent case, a general and bariatric surgeon agreed to pay $45,000 plus interest to resolve allegations related to improper billing practices involving esophagogastroduodenoscopies (EGDs) performed on bariatric patients. The settlement comes as part of an investigation by the U.S. Attorney’s...
Understanding TCM Billing and Compliance
Check out this resource from Kristen Poat, RHIT, CHPC, a TCM Compliance Roadmap Infographic and FAQ resource designed to support your TCM billing and compliance efforts.
Mastering Healthcare Audits: Key Strategies for Outpatient Settings
In today’s evolving healthcare world, internal auditing is more important than ever. Effective auditing can ensure compliance, enhance patient care, and streamline operations.
100th Episode Special: Insights from Healthicity’s Compliance Leaders
DOJ's Revised Guidance for 2024: Key Areas in Compliance
In September 2024, the U.S. Department of Justice (DOJ) released an updated version of their guidance document titled Evaluating Compliance Programs. This essential update impacts organizations across industries, providing a framework for how companies should assess and evolve their compliance...