Healthicity Blog

Payment integrity has long been a source of friction between payers and providers. But what if there was a way to foster collaboration, reduce abrasion, and achieve mutual goals? In the latest episode of Compliance Conversations, CJ Wolf speaks with Dave Cardelle, a seasoned expert in payment...

The Program for Evaluating Payment Patterns Electronic Report, or what we call around here, the PEPPER

This August we saw a ton of additions to the OIG’s workplan.

The OIG has added more items to their work plan in August (2018). Let’s take a quick look at some of the areas they will be scrutinizing.

Most coders are familiar with the general rule of New vs. Established Patient for professional billing.

For years, the OIG has been performing Hospital Compliance Reviews that are essentially data-driven billing analyses of inpatient and outpatient reimbursement.