Healthicity Blog

“CPT currently defines a critical illness or injury as an illness or injury that acutely impairs one or more vital organ systems such that there is a high probability of imminent or life threatening deterioration in the patient's condition.” -ACEP.Org.

One of the most important audit tasks is delivering the post-audit results. Our goal as auditors, is to give feedback in a way that leads to improvements in accuracy and documentation.

Anyone who’s ever watched an episode of Scrubs has seen residents step into the role of primary caregiver. Those of us who work in Healthcare know that T.V. is fictional and in no way accurately represents our real day-to-day in the industry.

You’re not alone. According to Pies Steel, a human resources professor at University of Calgary’s Haskayne School of Business, 95% of the population procrastinates and 20% are “chronic offenders.”

Annually, the Centers for Medicare and Medicaid Services (CMS) publishes its Fee-For-Service (FFS) Improper Payment Report, a result of the accumulated totals of the Comprehensive Error Rate Testing (CERT) audits.

The long days of reviewing stacks of paperwork on your desk are finally over. But, spreadsheet tools like Microsoft Excel are terrible for healthcare.

We received a lot of great questions during our Conflicts of Interest Webinar.

A few years ago, a provider called me for help. He was being audited and the payer had told him that he owed 100K in overpaid claims. We did a review and immediately saw the problem. He did, in fact, owe the money to the insurance company.