Healthicity Blog

Pass rate thresholds are pretty important. They define the acceptable accuracy rate by which a provider or coder passes or fails their coding audit.

Great, You’re a Perfectionist. Now What?

I’ve been auditing for almost thirty years. In that time, I’ve learned that auditors are typically extremely detail oriented, which is fantastic.

Did you know that Audit Manager Facility makes it easy for you to conduct audits for any encounter type, inpatient or outpatient, for either coders or providers? It’s true.

Most coders are familiar with the general rule of New vs. Established Patient for professional billing.

There’s nothing more frustrating to a coder than spending a good part of their work day correcting common provider coding errors.

Modifier 59 is shockingly confusing for coders, auditors and physicians alike. It’s frequently misused, for example, it’s often added as prevention or recoupment of an insurance denial as a way to get additional procedures paid.

Sometimes, when I mention coding and documenting Transitional Care Management, coders and auditors will get a crazy look in their eye that can best be described as, “subtle fear.”

But don’t panic, it’s easier than you think!

It’s always interesting to hear a doctor’s perspective on compliance, but it’s even more interesting when that doctor happens to be the OIG’s Chief Medical Officer. I had the pleasure of hearing her, Julie Taitsman, MD, JD, speak at the HCCA’s Regional Compliance Conference this May in New York...