Healthicity Blog

Around the offices here at Healthicity, our auditors and educators get more questions about Modifier 25 than any other modifier.

This past month, the OIG has added quite a few items to their 2019 workplan.

The OIG’s most recently published report reveals its findings of overpayments associated with HBO (and they’re not talking about the cable channel).

Crucial Tips for Assistant Surgeon Billing

Assistant surgeon billing can seem overwhelming, so it’s crucial to take it one step at a time.

1. $5.1 Million Dollar Settlement Reached With Indiana Dental Firm To Resolve False Claims Allegations –

One of the OIG’s most recent published audit reports explains their review of Graduate Medical Education (GME) payments.

Q1: Can a physician and an NPP of the same specialty and the same group are both bill critical care code 99291 if documenting the critical time for the patient?

1. Scripps Health to Pay $1.5 Million to Settle Claims for Services Rendered by Unauthorized Physical Therapists –