Healthicity Blog

Medicare audit reports are often treated as retrospective summaries, documents that explain what went wrong after the fact. But for organizations focused on strengthening their audit programs, they offer something far more valuable: a forward-looking view of risk.

An eye care organization in Pennsylvania recently agreed to pay $790,000 to resolve allegations of submitting improper Evaluation & Management (E&M) claims alongside bilateral eye injections. The violations, which occurred between 2018 and 2025, involved billing for same-day services in a way that...

As technology in healthcare advances, payors (like Medicare) adjust some of their coverage policies. One area that has seen increased coverage and use in the Medicare program is remote patient monitoring.

1. U.S. Attorney Announces Arrest Of Ophthalmologist For Healthcare Fraud -

1. Cardiovascular Doctor Pleads Guilty to Healthcare Fraud -

In May 2019, the OIG released audits they’d performed on Home Care agencies. In the end, they reached the conclusion that numerous services were out of compliance.

In November we saw some new updates to the OIG Workplan. Make sure you review all of them to see if your organization will be affected.

Crucial Tips for Assistant Surgeon Billing

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