Healthicity Blog

The last item on the OIGs list of 7 Elements of a Successful Compliance Program is focused on responding to detected offenses and developing corrective action initiatives. 

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...

As the world continues to embrace digital solutions in healthcare, telehealth has emerged as a critical tool for providing accessible and efficient medical care across borders. However, with the rapid expansion of telehealth comes a complex web of legal and regulatory challenges that healthcare...

In November of 2023, the Health and Human Services Office of the Inspector General (OIG) released an important guidance document called the General Compliance Program Guidance (GCPG). They have announced they will be publishing industry segment-specific guidance documents (ICPGs) as well. Though...

One of the new CPT^® codes in 2024 is the add-on code +99459, Pelvic Examination.

The U.S. Health and Human Services Office of Inspector General (HHS OIG) has written, “For a compliance program to be effective, the organization should establish appropriate consequences for instances of noncompliance, as well as incentives for compliance.”¹

GI procedures, particularly colonoscopies, present unique coding challenges. 

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...