Healthicity Blog

The Centers for Medicare & Medicaid Services’ Targeted Probe and Educate (TPE) program is one of the processes that Medicare administrative contractors (MACs) can use when providers are selected by medical review. CMS claims this review process is designed to help providers reduce claim denials and...

Since the OIG’s new General Compliance Program Guidelines came out at the end of last year, compliance teams have been working hard to sort through the new recommendations. And so have we!

In our latest episode of Compliance Conversations, we had the pleasure of speaking with Kimberly Jolivette Williams, a certified expert in medical coding and auditing. Hosted by CJ Wolf, this episode dives into the unique challenges and nuances of anesthesia coding and billing. Here’s a recap of...

The healthcare landscape is evolving rapidly, and compliance is more crucial than ever. The OIG’s November 2023 Healthcare General Compliance Program Guidance (GCPG) underscores the need for robust risk management and continuous improvement.

Watch our webinar featuring key aspects of effective medical coding and auditing reporting systems. 

Quick – which organization comes to mind when we say HIPAA?

Ada decides to start her day with pancakes – what could go wrong? Well, if you know Ada, A LOT can go wrong.