Healthicity Blog

The Centers for Medicare & Medicaid Services’ Targeted Probe and Educate (TPE) program is one of the processes that Medicare administrative contractors (MACs) can use when providers are selected by medical review. CMS claims this review process is designed to help providers reduce claim denials and...

New year, new Work Plan updates from the U.S. Health and Human Services (HHS) Office of Inspector (OIG) General! Let’s take a look at some important new additions to review.

Most medical coders, auditors, and compliance professionals are aware of the Centers for Medicare and Medicaid Services (CMS) Targeted Probe and Educate (TPE) program. It is designed to help providers and suppliers reduce claim denials and appeals through one-on-one help. 

A quick riddle for you. What totaled $12.59 billion over the course of 14 million transactions?  The answer: payments made to physicians and teaching hospitals in 2022 from industries such as medical device and pharmaceutical companies.

New healthcare coding changes are less than two months away – but don’t panic!

With so many coding changes just around the corner, it’s hard to keep up – we’re here to help!

2023 is fast approaching, and so are new changes from the Centers for Medicaid & Medicare (CMS)!

Understanding Osteopathic Manipulative Treatment (OMT)