Healthicity Blog

Each year brings CPT^® updates. But CPT^® 2026 introduces a level of complexity that directly impacts audit risk, consistency, and workload.

Each year, HCPCS Level II codes are updated to reflect changes in clinical practice, technology, and reimbursement policy, and 2026 is no exception. New, revised, and deleted codes can directly impact how services are reported, reimbursed, and audited.

Evaluation and Management (E/M) coding is the bread of butter service of most physicians and non-physician practitioners who do not perform high volumes of procedures. And even for proceduralists, E/M coding plays a big role in their revenue cycle. 

When most organizations think of audits, they picture risk exposure, tedious manual reviews, and stacks of reports that never seem to drive meaningful change. But when done right, audits aren’t just about identifying problems. They’re about protecting your revenue.

This checklist distills the top takeaways from our recent webinar on hospital audit planning, offering practical steps and expert insights to help your team build a stronger, more strategic audit program.

With the launch of the CMS TEAM Model, nearly 1,000 hospitals across the U.S. are entering a new era of accountability, care coordination, and financial risk. For the first time in recent history, CMS is mandating that selected hospitals take full responsibility for the cost, quality, and outcomes...

Government audits of hospital activities are plentiful. Is your hospital ready for such audits? Let’s take a look at some of the issues hospitals face from external government audits.

Every spring, the compliance calendar gets a little crowded. This year, HEALTHCON and HCCA’s Compliance Institute landed within weeks of each other—and both delivered big.