Healthicity Blog

A Washington State urgent care companyoperating multiple clinics across several cities recently agreed to pay $2.8 million to settle allegations tied to improper billing for diagnostic testing. In a new Deeper Than the Headlines segment, Healthicity’s CJ Wolf, MD, explains what went wrong—and why...

The OIG added many items to its work plan in July 2025. Below we have summarized a few of these items most likely to affect health care provider organizations.

Thank you for attending our recent webinar on Incident-To Billing. 

For many healthcare practices, “incident-to” billing is a common strategy used to increase Medicare reimbursements.  It sounds like a smart revenue move. But without a clear understanding of the rules, it can also be a compliance landmine.

Modifier 59 is here, there, and everywhere!

It’s one of the most frequently used and misused modifiers in medical coding and billing, and it indicates that a procedure or service was distinct or independent from other services performed on the same day by the same provider.

Accurate billing and coding play a critical role in the complex realm of healthcare financing. However, concerns about upcoding have emerged as a persistent issue, potentially leading to inflated healthcare costs and erroneous reimbursements.

The final episode of our three-part Compliance Conversations series on clinical research and billing is here!

What do clinical research and revenue have to do with each other? A lot, it turns out.