Healthicity Blog

Coding audits are the heartbeat of any compliance program. That’s why staying on track with your audit is essential to your program's success.

The Medicare Access and CHIP Reauthorization Act (MACRA)

The Medicare Access and CHIP Reauthorization Act (MACRA) of April 2015 will not only significantly change physician reimbursement, it will also change how we audit for correct coding and documentation.

There are a lot of Copy and Paste horror stories. Physicians who accidentally copy and pasted information from one patient’s record to a different patient. Or Copy and Pasting that goes rogue and suddenly, a woman with a family history of breast cancer has a history of breast cancer herself.

As reimbursements shift from fee-for-service to value-based payments, the need for better risk adjustment audit tools are on the rise.

As an auditor, you need to really focus on the task at hand. You’re detail-oriented and if you’re like me, you’ve got a lot to do. From making lists to staying organized, there are a number of ways you can beat distractions and be more productive.

“Time is on my side. Yes it is.” But knowing whether or not time is a factor to qualify for a particular level of E/M can lead to uncertainty. So when is time a factor?

The OIG has frequently reviewed chiropractic services over the last several years. Their most recent report was posted on their website on Aug. 18, 2017 and concluded that a Brooklyn chiropractor had a 100% error rate for claims over a two-year period worth about $672,000.

1. Fort Worth Brothers Admit Role in $36 Million Lab Test Kickback Scheme - Two Fort Worth men pleaded guilty Friday afternoon to playing a role in an alleged $36 million fraud scheme involving unnecessary lab tests of saliva and urine that were billed to the U.S. military’s health care system.