Healthicity Blog

The first major revision to the Evaluation and Management (E&M) coding and documentation guidelines in over two decades has put the spotlight the importance of Medical Decision Making (MDM) as the essential element when choosing an E&M level that isn’t time-based.

In past years at Thanksgiving time, we’ve written about the reasons compliance professionals should be thankful for working in the compliance profession. This year, let’s explore why organizations should be grateful for you, the compliance professionals, who build and manage compliance programs.

On our latest episode of Compliance Conversations, we’re taking an in-depth look at the revenue cycle and coding. We’re joined by Stephanie Perry, the outpatient medical supervisor for e4health, as she shares insights from her 12 years of experience in coding, auditing, training, and leadership...

Reporting incidents of potential fraud should be on every compliance professional’s radar (because it’s definitely on the OIG’s).

Healthcare professionals must balance the benefits of a prescribed medication with the potential risks and side effects it may pose to the patient.

It is probably not intentional, but it sure seems like there is a theme to many of the U.S. Department of Health and Human Services Office of Inspector General (OIG) Work Plan items added in October 2023. 

Traditionally, as the calendar year approaches its end, many compliance programs evaluate their annual audit plan to assess its effectiveness and revise the plan as needed for the following year. Some compliance programs may do this at other times of the year. When it happens is not as essential as...

In this episode, we welcomed Stacey Crudup, Chief Compliance Officer at The SEES Group, to share her insights on why building relationships with team members on the front lines of healthcare is essential in driving strong compliance programs.