Healthicity Blog

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...

The healthcare landscape is evolving rapidly, and compliance is more crucial than ever. The OIG’s November 2023 Healthcare General Compliance Program Guidance (GCPG) underscores the need for robust risk management and continuous improvement.

Quick – which organization comes to mind when we say HIPAA?

Our latest episode of Compliance Conversations features CJ Wolf, MD, and Brian Burton, our Chief Compliance and Privacy Officer, sharing their key takeaways from two of the most prominent industry conferences: HCCA's Compliance Institute and AAPC's HEALTHCON.