Healthicity Blog

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.

Great, You’re a Perfectionist. Now What?

I’ve been auditing for almost thirty years. In that time, I’ve learned that auditors are typically extremely detail oriented, which is fantastic.

On July 12, 2018, CMS published its annual update of the Medicare Physician Fee Schedule.

The National Correct Coding Initiative (NCCI) is a program designed by the Centers for Medicare and Medicaid Services to prevent overpayment or improper payment of procedures that should not be submitted together.