Electronic Medical Record (EMR) systems have revolutionized healthcare documentation, allowing for streamlined record-keeping and improved patient care. However, lack of governance over EMR templates means they may contain outdated language that can hinder effective communication, delay revenue due to denials, prompt audits, and/or compromise patient-centric care. Modernizing language within the EMR template is essential to keep pace with an ever-evolving medical industry ..read more

Orthopedics is an important medical specialty that serves patients of all ages. It is also an area that has seen its share of compliance enforcement. Let’s look at some of these cases that involved the orthopedic specialty.  ..read more

In this episode of Compliance Conversations, host CJ Wolf sits down with healthcare legal expert Hal McCard to dive deep into the intricate world of physician financial relationships. Hal, with over 25 years of experience in healthcare law, shares invaluable insights and practical advice that are essential for anyone involved in healthcare management and compliance.  ..read more

Compliance Manager is our all-in-one compliance program software, empowering you with the tools and capabilities to manage your program with ease. Whether you're training employees, conducting risk assessments, or investigating incidents, you can manage your entire program in one easy-to-use platform.  ..read more

The OIG added many new items to their work plan in June. We’ve highlighted a select number of them below.  ..read more

In November of 2023, the Health and Human Services Office of the Inspector General (OIG) released an important guidance document called the General Compliance Program Guidance (GCPG).  They have announced they will be publishing industry segment-specific guidance documents (ICPGs) as well. Though these documents are welcomed by the compliance community, they are not, in and of themselves, a checklist or model compliance program.   ..read more

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One of the new CPT® codes in 2024 is the add-on code +99459, Pelvic Examination.  ..read more

GI procedures, particularly colonoscopies, present unique coding challenges.   ..read more

At Healthicity, we believe in recognizing the exceptional contributions of compliance professionals who go above and beyond to ensure that their organizations uphold the highest standards of integrity and ethics. This year, we are thrilled to feature our first-ever Compliance Officer of the Year Award recipient, Johanna Brown, Director of Compliance at Kootenai Health in Coeur d'Alene, Idaho.  ..read more