Healthicity Blog

Auditing and monitoring are core pillars of any effective compliance program. But as regulatory expectations evolve and OIG findings become increasingly detailed, it’s more important than ever for compliance teams to ensure their audit plans are aligned with current risks.

Leading health systems  are standardizing compliance and auditing -- find out how. 

Behavioral health compliance comes with its own unique challenges—and it can feel like the rules are always changing. To make it easier, we pulled together a set of resources that break down the latest updates, highlight enforcement trends, and share practical tips you can put to work right away.

Behavioral health providers face a unique set of compliance challenges. From protecting patient privacy to managing sensitive documentation and ensuring ethical care delivery, the stakes are high. That’s why the Office of Inspector General’s (OIG) Seven Elements of an Effective Compliance Program...

Few coding modifiers have drawn as much scrutiny as modifier -25. Used to indicate a significant, separately identifiable evaluation and management (E/M) service on the same day as another procedure, modifier -25 has long been a point of focus for third-party payors and government enforcement...

Physician group practices face mounting regulatory responsibilities, but many continue to overlook compliance blind spots that can carry major financial and reputational consequences.

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.

Every strong compliance program starts with the ability to identify and act on potential issues — but turning those reports into trackable, manageable actions can be where things start to fall apart.