Healthicity Blog

Auditing for E/M Consultation Services has been confusing auditors for years.

A well-rounded compliance officer will understand best practices in auditing standards so they can make sure their organization is shining.

Pressure Ulcers are injuries to the skin and underlying tissue. You’ve probably seen them fairly often in the patient’s medical record referred to as “bed sores” or “pressure wounds” or “decubitus ulcers.”

You sit down and feel your jaw tighten, your pulse quicken, and your shoulders cramp up like you’ve slept on a boulder all night.

One of the most difficult jobs as an auditor isn’t keeping up with the constant changes in healthcare or trying to remember all the rules for the different Medicare carriers. It’s sitting down with a provider to discuss their audit results.

Understanding incident-to can be stressful. According to an MLN Matters article, number SE0441, “To qualify as “incident to,” services must be part of your patient’s normal course of treatment

My latest Compliance Conversations episode is called “The Teaching Physicians Rule: A Blessing or a Curse.”

Pass rate thresholds are pretty important. They define the acceptable accuracy rate by which a provider or coder passes or fails their coding audit.