Healthicity Blog

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

Electronic Medical Record (EMR) systems have revolutionized healthcare documentation, allowing for streamlined record-keeping and improved patient care. However, lack of governance over EMR templates means they may contain outdated language that can hinder effective communication, delay revenue due...

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...

Since the OIG’s new General Compliance Program Guidelines came out at the end of last year, compliance teams have been working hard to sort through the new recommendations. And so have we!

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.

It’s Springtime. The bees are buzzing and flowers blooming. It is also the time of year when coders, auditors, and compliance professionals are out in full force, learning all they can…at two of the industry’s main event. 

2024 brought a lot of changes to the medical coding and reimbursement world. In January, we highlighted some of the changes in our New Year, New Coding Changes webinar.

Medicare covers medical nutrition therapy (MNT) services, but only under certain circumstances.