Healthicity Blog

The U.S. Health and Human Services Office of Inspector General (OIG) has their compliance eyes on a couple dermatology issues you need to know about. The first involves medical coding modifier 25 and the second is about skin substitutes.

According to the National Alliance on Mental Illness (NAMI)1, there has been a significant increase nationally in the number of individuals suffering from mental health conditions. Some of the numbers NAMI reports include the following:

“The Justice Department will continue to pursue individuals — including C-suite executives — who commit health care fraud.” This statement comes from the Principal Deputy Assistant Attorney General Brian M. Boynton, head of the Justice Department’s Civil Division.

“Providing appropriate education and training is a vital component of an effective compliance program.” 

The Health and Human Services Office of Inspector General (OIG) recently published General Compliance Program Guidance¹, and one of the many important sections in the document includes a list of a compliance officer’s primary responsibilities. Among these primary responsibilities is the development...

Traditionally, as the calendar year approaches its end, many compliance programs evaluate their annual audit plan to assess its effectiveness and revise the plan as needed for the following year. Some compliance programs may do this at other times of the year. When it happens is not as essential as...

In November 2022, the U.S. Health and Human Services (HHS) Office of Inspector General (OIG) issued a report titled, “Long-Term Trends of Psychotropic Drug Use in Nursing Homes.”¹ This report highlights areas of weakness related to nursing home patients who may be inappropriately given psychotropic...

A fundamental tenet of healthcare billing compliance is that services must be medically necessary.