Healthicity Blog

In Medicare and Medicaid services, managed care plans fall under Part C, a Medicare Advantage plan alternative to Parts A and B. Medicare Advantage plans often include integrated self-administered drug coverage similar to the standalone Part D prescription drug benefit plan.

As many of you know, we’ve been releasing a lot of new stuff lately. We included audio files of our eBriefs, a new podcast, Compliance Conversations, and now, to keep the momentum going, we are launching an ICD-10 cartoon series, The Misadventures of Ada.

Level 1-established patient encounter code, 99211, can be confusing. CPT defines this code as, “the evaluation and management of an established patient, that may not require the presence of a physician or other qualified healthcare professional.

Whether you need help making informed decisions for your organization regarding the RAC audits, or need a refresher on ethical e/m coding, this list of super useful audit resources has it all.

“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.”