Healthicity Blog

“Time is on my side. Yes it is.” But knowing whether or not time is a factor to qualify for a particular level of E/M can lead to uncertainty. So when is time a factor?

Everyone is talking (and panicking) about Hierarchical Condition Categories (HCCs) lately and for good reason: HCCs are progressively being applied to numerous healthcare reform initiatives and it’s pretty confusing.

Healthcare fraud and abuse are hot topics right now, it’s more important than ever to get on top of new codes and keep your practice audit-ready. Knowledge is power. This handy list will help you update CPT codes and stay current. Educate providers and staff using the following auditing resources.

I get it. Being a compliance officer doesn’t sound all that thrilling to the general public. When I explain my job to friends, I can see their expressions glaze over as they struggle to suppress a yawn. Yet, as far as I’m concerned, my job is amazing.

1. Kentucky doctor sentenced in Medicaid fraud case: Big fraud in Kentucky. “A Kentucky doctor convicted of Medicaid fraud has been sentenced to five years in prison and ordered to pay more than $10,000 in restitution.

In early February of this year, I wrote an eBrief predicting the future of compliance under the new Presidential administration. My guess was that regulatory burdens would decrease.

President Trump’s words might lead us to believe we’re heading towards an “anti-regulation” future. But I think the foundations of compliance programs will remain intact.

Let’s face it, most passwords are not secure and that’s a huge problem when it comes to HIPAA. The HIPAA Security rules require covered entities and business associates to provide a “unique identifier” of all users in its information systems.