News of a Chicago physician's 10-year federal prison sentence for healthcare fraud made headlines earlier this month. The charges centered on claims submitted for procedures that were not medically necessary, with some performed without full patient consent. These actions led to consequences for...
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Posts by CJ Wolf:
4 Key Areas to Watch in the June 2025 OIG Work Plan Update
July 2, 2025 | Posted by :
CJ Wolf

What Healthcare Providers Can Learn from Recent OIG Audits
July 1, 2025 | Posted by :
CJ Wolf

What Healthcare Teams Need to Know About MDS Assessments and OIG Audits
June 26, 2025 | Posted by :
CJ Wolf

How to Develop a Hospital Audit Plan
June 17, 2025 | Posted by :
CJ Wolf


Watch our webinar for a step-by-step discussion on how to build a focused audit plan—from stakeholder input to risk filtering and prioritization.
4 New Areas of Oversight Compliance Leaders Should Watch
June 4, 2025 | Posted by :
CJ Wolf

Recent Settlement Highlights Challenges in Modifier 25 Usage
June 2, 2025 | Posted by :
CJ Wolf


In the latest Deeper Than the Headlines feature, we unpack a recent $427,000 settlement involving a Connecticut-based physiatrist and her practice that underscores a persistent risk area for providers: improper use of Modifier 25.
The High Cost of Getting Psychotherapy Coding Wrong
May 29, 2025 | Posted by :
CJ Wolf
