Healthicity Blog

Evaluation and Management (E/M) coding is the bread of butter service of most physicians and non-physician practitioners who do not perform high volumes of procedures. And even for proceduralists, E/M coding plays a big role in their revenue cycle. 

When most organizations think of audits, they picture risk exposure, tedious manual reviews, and stacks of reports that never seem to drive meaningful change. But when done right, audits aren’t just about identifying problems. They’re about protecting your revenue.

Government audits of hospital activities are plentiful. Is your hospital ready for such audits? Let’s take a look at some of the issues hospitals face from external government audits.

During our webinars on the OIG’s ICPG for Nursing Facilities (watch Part 1 and Part 2) questions arose about the Minimum Data Set (MDS). 

In the latest Deeper Than the Headlines feature, we unpack a recent $427,000 settlement involving a Connecticut-based physiatrist and her practice that underscores a persistent risk area for providers: improper use of Modifier 25.

The AAPC’s annual HEALTHCON conference is the coder’s and auditor’s premier in-person educational event of the year. This year the event will be held in Orlando, FL from April 6-9, 2025.

Audit smarter and faster with Audit Manager+, our advanced web-based audit management solution.

Remember the 1985 Chevy Chase & Dan Aykroyd comedy “Spies Like Us?” One of the senior leaders in our practice once joked that “G2211” sounded like CIA operative lingo straight from the movie. Every time the topic comes up, I humor myself with imaging what silly scenarios G2211 could mean if it had...