Healthicity Blog

The OIG’sGeneral Compliance Program Guidance (GCPG) has a lot to review, which is why we’re offering ongoing webinars about key topics in the document. Our next webinar in this series features a critical area of interest: patient quality and safety. 

The first major revision to the Evaluation and Management (E&M) coding and documentation guidelines in over two decades has put the spotlight the importance of Medical Decision Making (MDM) as the essential element when choosing an E&M level that isn’t time-based.

The Inspector General of HHS has warned the healthcare compliance community that reimbursement methodologies associated with Medicare Advantage would be a top priority. Included in these efforts is an enhanced focus on Hierarchical Condition Categories (HCC) and risk adjustment.

Artificial Intelligence (AI) is EVERYWHERE. There’s no escaping this disruptive technology, which is why it’s critical to learn more about the risks and compliance challenges associated with it.

Even though HIPAA has been around for a long time, there’s always something new around the corner.

Academic medical centers often have unique risks associated with their services.  As a result, their compliance programs need to be designed to account for these risks. 

We all know the importance of the seven elements of an effective compliance program.

“Keep It simple, stupid.” This is a famous project management/design principle with the well-known acronym KISS.