Healthicity Blog

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...

The U.S. Health and Human Services Office of Inspector General (OIG) recently signaled an even stronger focus on nursing homes. The OIG plans to more closely scrutinize nursing home compliance in their work plans, audits, and oversight.

Can you believe we’re heading into the second half of 2023? This year is moving faster than you can say “HIPAA.”

Healthcare providers are leaving money on the table – but how do you find it?  Whether you are part of a small practice or a large healthcare system, there’s lost money somewhere.