Healthicity Blog

For those of you unfamiliar with coding and billing, modifier -59 is a two-digit numeric code modifier that can be appended to a CPT or HCPCS procedure code, for example, and will frequently bypass many payor edits.

1. Influencer not Enforcer: How to Avoid the Dreaded Corporate Cop Image

When it comes to compliance, sometimes image is everything. How you’re perceived in your organization can either work for you or against you.

1. Missouri Hospital Settles Case Involving Patient Dumping Allegations - “On October 17, 2017, Southeast Missouri Hospital (SEM), Cape Girardeau, Missouri, entered into a $100,000 settlement agreement with OIG.

We all could use some advice every now and then, especially in the world of healthcare compliance.

1. Huntsville Nursing Home Pays the United States and the State of Texas $5 Million to Settle Claims Alleging Poor Quality of Care –

Though many CIAs read very similarly, it’s good practice to read new ones to reaffirm some of the core principles of an effective compliance program.

1. Jacksonville Cardiovascular Practice Agrees To Pay More Than $440,000 To Resolve False Claims Act Allegations For Failing To Reimburse Government Health Care Programs -

The OIG has added some more items to their work plan for this month, October 2017. Some of these new items may interest you. Staying informed is a large part of maintaining an effective compliance program.