Healthicity Blog

Each year, CPT^® updates bring shifts that ripple across coding, auditing, and revenue integrity teams—and 2026 is no exception. This year’s changes highlight ongoing expansion in virtual care, refinements in surgical reporting, and the continued evolution of immunization coding.

This year’s enforcement landscape brought sharper oversight, evolving regulations, and new vulnerabilities across healthcare and beyond. Yet amid the turbulence, one message stood out: proactive compliance programs don’t just protect organizations from penalties—they deliver measurable returns in...

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.

As healthcare audits become more data-driven and precise, ensuring your hospital’s documentation can stand up to scrutiny is essential. Our webinar spotlights three audit types every compliance and coding team should master: Clinical Validation Audits, POA Indicator Audits, and HCC Audits.

Watch our webinar for a step-by-step discussion on how to build a focused audit plan—from stakeholder input to risk filtering and prioritization.

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.

For years, spreadsheets have been the go-to tool for compliance teams tracking 60-Day Rule adherence. But in today’s complex healthcare environment, manually updating spreadsheets just doesn’t cut it anymore. The risks are too high—missed deadlines, undetected overpayments, and noncompliance...