Healthicity Blog

What better way to ring in the new year than with new guidance from the OIG?

The first major revision to the Evaluation and Management (E&M) coding and documentation guidelines in over two decades has put the spotlight the importance of Medical Decision Making (MDM) as the essential element when choosing an E&M level that isn’t time-based.

It's that time of year again – compliance programs are putting the finishing touches on their annual audit plan for the year ahead. Wrangling those fresh and familiar compliance risks is like a puzzle – you've got to be organized and clever to piece together a winning plan.

The Inspector General of HHS has warned the healthcare compliance community that reimbursement methodologies associated with Medicare Advantage would be a top priority. Included in these efforts is an enhanced focus on Hierarchical Condition Categories (HCC) and risk adjustment.

Artificial Intelligence (AI) is EVERYWHERE. There’s no escaping this disruptive technology, which is why it’s critical to learn more about the risks and compliance challenges associated with it.

Even though HIPAA has been around for a long time, there’s always something new around the corner.

Academic medical centers often have unique risks associated with their services.  As a result, their compliance programs need to be designed to account for these risks. 

As compliance professionals, staying on top of recent enforcement actions by the U.S. Department of Justice (DOJ) can be a challenge – but we’re here to help. Understanding recent enforcement actions is a crucial way to guide compliance programs, risk assessments, education efforts, and auditing...