Healthicity Blog

Big news for nursing facilities: The OIG released its first-ever Segment-Specific Compliance Program Guidance (ICPG), beginning with Skilled Nursing Facilities and Nursing Facilities. This landmark update outlines new expectations for quality of care, resident safety, billing integrity, and...

Each year, CPT^® updates bring shifts that ripple across coding, auditing, and revenue integrity teams—and 2026 is no exception. This year’s changes highlight ongoing expansion in virtual care, refinements in surgical reporting, and the continued evolution of immunization coding.

November 2025 saw many new additions to the HHS OIG Work Plan.  

This year’s enforcement landscape brought sharper oversight, evolving regulations, and new vulnerabilities across healthcare and beyond. Yet amid the turbulence, one message stood out: proactive compliance programs don’t just protect organizations from penalties—they deliver measurable returns in...

You already know that cybersecurity isn’t just IT’s responsibility; it’s a core part of compliance. But turning best practices into daily habits across your organization can be easier said than done.

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.

Whether you’re a medical coder, auditor, or compliance professional, staying up to date on 2026 ICD-10-CM updates is crucial for accurate reporting and reducing claim denials.

The HHS OIG has added to their work plan an analysis of Medicare Advantage Enrollment. According to OIG, the Medicare Advantage program is vulnerable to schemes designed to increase Medicare Advantage organization (MAO) profits by improperly influencing enrollment. They explained that known...