Healthicity Blog

November was a very busy time for the Department of Health and Human Services Office of Inspector General (OIG) Work Plan. Fifteen new items were added during the month. Below are some of the notable items added this last month.

Nowadays it may seem like everything in healthcare compliance revolves around COVID-19 and the pandemic.

Welcome back to our final installment of our Q&A on Telehealth in the Time of COVID.

Hello my fellow auditors and coders, and welcome back to our ongoing Q&A on Telehealth in the Time of COVID.

When we coders and auditors talk about the selection of the principal diagnosis, we know that the first diagnosis reported on a claim is the most important

1. Kentucky Lab Agrees to Pay $2.1 Million for False Urine Drug Testing Claims -

The OIG’s most recent audit of an Arkansas Skilled Nursing Facility (SNF) resulted from claim data-mining it had previously conducted.

When the Affordable Care Act was passed in 2010 it included section 6102 requiring nursing facilities to have an effective compliance program.