Healthicity Blog

A fundamental tenet of healthcare billing compliance is that services must be medically necessary.

As compliance professionals, staying on top of recent enforcement actions by the U.S. Department of Justice (DOJ) can be a challenge – but we’re here to help. Understanding recent enforcement actions is a crucial way to guide compliance programs, risk assessments, education efforts, and auditing...

Written policies and procedures are often listed as the first element of an effective compliance program. Though all the elements really work together, and no singular element is necessarily more important than another, it does make sense to list written policies and procedures as the first element.

Summer is upon us! Compliance Carl finally has a chance to tackle his ever-growing “to be read” stack. What's better than a beach read?

Doctor, firefighter, marine biologist, compliance officer?

The elevator door dings and Compliance Carl steps in to see two nurses deeply engaged in conversation. Trying to mind his own business, Carl’s thoughts turn to the stack of work awaiting him at his desk.

Depression and psychiatric conditions are relatively common in the elderly and nursing home residents. Effective treatments for these conditions can include medications, as well as psychotherapy. However, compliance professionals need to be aware of proper medical necessity, coding, and...

If you’re like me, you were in hog heaven at the HCCA’s Compliance Institute in Anaheim. It was so nice catching up with friends and colleagues while meeting and making new friends too.