Healthicity Blog

Auditing today requires far more than technical expertise. Organizations increasingly rely on auditors not only to identify risk and validate compliance, but also to provide independent insight, support accountability, and strengthen operational integrity.

You can’t improve what you don’t measure — and according to attendees of our recent webinar on KPIs for compliance programs, measuring compliance effectiveness remains a major challenge for many organizations. In a live audience poll, more than 50% identified policies and procedures as the most...

Artificial intelligence is quickly becoming part of everyday conversations in healthcare revenue cycle. But for many organizations, the biggest questions are not about whether AI is coming — they are about what problems it actually solves, where human oversight still matters, and how organizations...

The HHS OIG recently published a report expressing concern about utilization trends tied to peripheral vascular procedures, particularly those performed in office-based settings. The report noted that the trends raise questions around program integrity — signaling that additional audits and reviews...

The HHS OIG’s latest Work Plan updates provide an important look into the compliance risks, billing practices, and operational areas likely to face increased scrutiny in the months ahead.

A recently announced Botox fraud conviction is drawing attention across the healthcare industry, not only because of the size of the alleged fraud, but because of the compliance and oversight failures involved throughout the case.

In November 2023, the Office of Inspector General published its updated General Compliance Program Guidance (GCPG). This was the first comprehensive revision to the seven elements framework in nearly two decades. For healthcare organizations still running their compliance programs from old...