HCC Coding Audits . . . A Must!

The words “Hierarchical Condition Categories” or HCCs can conquer up some anxiety for HIM Coding, and Clinical Documentation Integrity (CDI) professionals, even for Revenue Cycle and Compliance leadership. Add to that, the word “audit” and we now have uneasiness and...

2021 OIG Work Plan: An Overview and Auditing Priorities

This blog will provide some key points on how you can incorporate the current Office of Inspector General (OIG) items and future items into your organization’s auditing and monitoring functions.  Paying attention to what the OIG for Health and Human Services (HHS)...

The Importance of Auditing and Follow-up – points to ponder

As a compliance professional, auditing and monitoring is a key component to an effective compliance program. In the past I used to ask my students which of the Seven Elements of an Effective Compliance Program they felt was the most important (which is my first point,...