Healthicity Blog

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.

Do you know when it’s appropriate to add a modifier 25? We’ve created a free infographic that provides a visual way to help you remember when it’s appropriate to add a modifier 25 and when it is not.

Auditing and Monitoring: One of the 7 Elements of an Effective Compliance Program

The OIG frequently creates and shares short videos about important compliance topics in their series, “Eye on Oversight.” Their most recent release demonstrates the importance of OIG Audits.

Sometimes, when I mention coding and documenting Transitional Care Management, coders and auditors will get a crazy look in their eye that can best be described as, “subtle fear.”

But don’t panic, it’s easier than you think!

Ada recently set out to learn how to knit. Knitting is known for bringing a sense of calm joy to practitioners. It’s something to do with your hands, a way to relax, unwind, all while creating interesting gifts (some lovely, some weird) for your friends and loved ones. A table doily, some baby...

Everyone is talking (and panicking) about Hierarchical Condition Categories (HCCs) lately and for good reason: HCCs are progressively being applied to numerous healthcare reform initiatives and it’s pretty confusing.

Auditors, unite! Below you’ll find a roundup of education and certification resources for auditors. In every industry, education and networking are key to career growth and personal development. So, join an organization, attend a conference, or sign up for a course.

Every auditor faces different challenges. Some of us get stuck on MIPS, while others struggle with HCC. The one area that seems to really stump all of us across the board is Medical Decision Making.