Healthicity Blog

Healthcare environments are prone to conflicts of interest. Healthcare is the perfect example of a complex adaptive system (CAS).These systems are prone to error on a regular basis, but, lucky for us, they’re also capable of incredible innovation, if the right conditions are created.

A lot can go wrong when you conduct an audit, so preparedness is absolutely crucial. Auditing is not for the faint of heart.

This week saw the largest takedown in history, announced the OIG HHS and the Justice Department on Wednesday.

When you run into common auditing problems, do you ever wonder what other auditors are doing?

The RAC program has been controversial ever since its inception when the Centers for Medicare and Medicaid Services (CMS) instituted the program to identify and correct Medicare improper payments through the detection of overpayments and underpayments made on healthcare claims.

Welcome to part three of this three-part series where I discuss six important lessons we can all learn from the OIG’s audits of physician E/M services.

“Use your words,” my mom used to say. And, as with most things, she was right. Words are important.

Welcome to part two of this three part series where I discuss six important lessons we can all learn from the OIG’s audits of physician E/M services.