Healthicity Blog

Karl Pearson said it best: "That which is measured improves; that which is measured and reported improves exponentially."

Most compliance inefficiencies don’t look like big problems at first.

If a payer, regulator, or internal stakeholder challenged one of your audit findings tomorrow, would you be ready?

Conference season is more than a calendar event for compliance professionals. It is where priorities start to take shape, where regulators share direction, and where organizations get an early look at what will matter most in the months ahead.

Most organizations run compliance and auditing as separate tracks. This guide explains how to connect them into a single, continuous loop so findings drive action, and action gets verified.

CPT^® codes, HCPCS Level II, NCCI edits, ICD-10 — the updates land quarterly, and the compliance exposure lands right along with them. Audit Manager+ is built to handle every code set your organization touches, in one place, without rebuilding your workflow each time the landscape shifts.

We previously wrote about some of the highlights in the HHS OIG’s newest compliance program guidance for the Medicare Advantage segment of healthcare. The guidance is often referred to as the MA ICPG, and our prior posting can be found here.

This conversation comes at an important time. Vendor relationships have become more complex, more data-driven, and more critical to healthcare operations than ever before. And while organizations have long relied on contracts and business associate agreements to manage these relationships, the risk...