Healthicity Blog

For fun, let’s take a short quiz. Would you say that the following scenarios would be coded as a new or established patient?

It’s been almost a year and many compliance officers are still trying to figure out how to make use of the OIG Resource Guide.

I have over 30 years’ experience in the healthcare industry. During that time, I’ve experienced workplace stress, boredom, frustration and a whole host of other challenges.

The appropriate use of Modifier 25 can be a little tricky because the requirements are ultra-specific. On the one hand, Modifier 25 is really handy.

There are a lot of Copy and Paste horror stories. Physicians who accidentally copy and pasted information from one patient’s record to a different patient. Or Copy and Pasting that goes rogue and suddenly, a woman with a family history of breast cancer has a history of breast cancer herself.

An organization that fails to create and maintain an effective compliance program could be forced to return overpayments. And providers may face severe civil, criminal, and financial penalties.

About five years ago I had an experience that changed my perspective and really opened my eyes to a better way to effectively share post-audit results.

Dr. Smith and I had met a number of times because we were in the same organization.

So, you’ve done your homework and hired a rock star coder to improve your bottom line. You’ve found the perfect person, someone with knowledge, initiative, critical thinking skills and precise communication.