Healthicity Blog

Enforcement agencies often focus on “following the money.” In other words, big revenue usually is associated with compliance scrutiny – and some of the biggest revenue generators are facilities. This is partially why enforcement agencies, like the U.S. Health and Human Services Office of Inspector...

Accurate billing and coding play a critical role in the complex realm of healthcare financing. However, concerns about upcoding have emerged as a persistent issue, potentially leading to inflated healthcare costs and erroneous reimbursements.

Healthcare providers are leaving money on the table – but how do you find it?  Whether you are part of a small practice or a large healthcare system, there’s lost money somewhere.

Healthicity received so many great Modifier 25 questions during our recent webinar! They all had slight variations in the details, but most of the questions asked fit into five categories. CJ Wolf, MD, organized his responses below by those five categories.

Does the word “spreadsheet” make you think of never-ending cells, formulas, and tabs? Does compiling data for complex post-audit reporting take hours? Have no fear!

Internal auditing and monitoring is one of the seven elements the Office of Inspector General (OIG) has outlined as guidance for effective compliance programs within individual and small-group physician practices.

Today’s episode of Compliance Conversations features a conversation between CJ Wolf, MD, and his longtime colleague and medical compliance expert, Jay McVean. Jay has over two decades of experience in medical billing and coding, and he currently serves as the Director of Medical School Billing...