Healthicity Blog

Let’s say you’re a Medicare Advantage organization and one day you receive a notification from CMS that you’ve been selected for a program audit. What should you do?

You might be using an outside billing company, a central business office or practice staff to provide medical billing services. And you might be feeling pretty great about the work they do.

A few months ago we conducted a survey of over 1,000 healthcare professionals (chances are you’re one of them).

Spring is in the air, the flowers are in bloom, and Ada took to her backyard to plant zucchini, cucumber, tomatoes, and plenty of other delicious veggies in her garden.

Many Tribal programs receive funds from the Department of Health and Human Services (HHS). Have you ever wondered if you’re meeting all the requirements to protect that revenue stream and the beneficiaries it’s intended to serve?

Q1: Can a physician and an NPP of the same specialty and the same group are both bill critical care code 99291 if documenting the critical time for the patient?

Just as we humans rely on our heart to keep ticking, any compliance program worth its salt relies on an effective audit plan to maintain organizational compliance.

For fun, let’s take a short quiz. Would you say that the following scenarios would be coded as a new or established patient?