Healthicity Blog

The Department of Justice just reported another record-breaking year for False Claims Act (FCA) enforcement, and healthcare organizations once again accounted for the overwhelming majority of recoveries.

We previously wrote about some of the highlights in the HHS OIG’s newest compliance program guidance for the Medicare Advantage segment of healthcare. The guidance is often referred to as the MA ICPG, and our prior posting can be found here.

Eye services remain a consistent area of focus for the OIG, with recent audit activity highlighting patterns that can quickly turn into repayment exposure: E/M services billed on the same day as intravitreal injections, high-level nursing facility E/M services billed by optometrists, and diagnostic...

A recent enforcement action involving a New York hospital system offers a powerful reminder that physician agreements are only as strong as their execution.

Investing in a compliance program management tool is a significant decision—often sparked when teams realize that spreadsheets, emails, and slide decks aren’t efficient enough. Manual processes consume valuable employee time that could be saved with cloud-based compliance software.

Many medical practices strategize and work hard to experience growth. It can be exciting and rewarding. Increased growth is often accompanied by increased revenues, along with an opportunity to positively impact the health of more people.

Telehealth has permanently changed the healthcare landscape, offering convenience and accessibility like never before. However, as technology evolves, so do compliance risks. From fraud schemes to cybersecurity concerns, healthcare providers must remain vigilant.

Education related to documentation in the patient electronic medical record (EMR) is an area of health information management overdue for a tune-up. Lack of regular and formal education in this area poses a problem for healthcare providers who are expected to appropriately record information in the...