Healthicity Blog

When it’s time to conduct a compliance investigation, it’s critical to have a plan in place. Here’s a quick outline of some key steps to help you with your investigative efforts. 

According to the Centers for Disease Control and Prevention (CDC), approximately 1 in 5 Americans suffer from chronic pain, while about 1 in 14 have suffered from high-impact chronic pain which results in substantial restriction to daily activities.¹

With physician and clinician shortages in healthcare, many entities are turning to non-physician practitioners (NPPs) such as nurse practitioners or physician assistants. Often, NPPs and physicians provide services to the same patient on the same day.

In the latest episode of Compliance Conversations, we had the pleasure of hosting Maeve O'Neill, MEd, LPC-S, CHC, CDTLF, the National Compliance Director for Circa Behavioral Healthcare Solutions, a seasoned expert in behavioral health compliance with over 30 years of experience in mental health...

In June 2024, a provider organization settled False Claims Act allegations with the government by agreeing to pay $14.9 million. Improper billing of chronic care management (CCM) was among the alleged improper billing schemes.

'Exclusion checks, exclusion checks, exclusion checks,’ what is it all about? 

In this episode of Compliance Conversations, host CJ Wolf sits down with Alicia Shickle, AHFI, CHC, CPC, CPCO, CPMA, CRC, the President and CEO of ProCode Compliance Solutions LLC, a healthcare compliance veteran with nearly four decades of experience. Alicia has seen it all, from family practice...

Ambulatory Surgery Centers (ASC) are found throughout the country. Physicians often like them because they hold potential for increased efficiencies over a traditional hospital-based operating room. Patients often like them because they are in and out within a day, which makes scheduling and...