Healthicity Blog

In the latest installment of Deeper Than the Headlines, CJ Wolf, MD, examines a recent enforcement action involving a Florida-based medical practice and its physician owner, who agreed to pay over $415,000 to resolve allegations under the False Claims Act.

While the dollar amount may not be the...

Karl Pearson said it best: "That which is measured improves; that which is measured and reported improves exponentially."

We previously wrote about some of the highlights in the HHS OIG’s newest compliance program guidance for the Medicare Advantage segment of healthcare. The guidance is often referred to as the MA ICPG, and our prior posting can be found here.

March 2026 was a busy month of announcement for the OIG’s Work Plan. Compliance officers and auditors should review the recent announcements and adjust their compliance work plans and annual audit plans as necessary.

A recent case out of Washington is a reminder that compliance risk does not stop at billing. It can also show up in how medical devices are handled.

Medicare audit reports are often treated as retrospective summaries, documents that explain what went wrong after the fact. But for organizations focused on strengthening their audit programs, they offer something far more valuable: a forward-looking view of risk.

Coding updates aren’t confined to annual releases, and the April 2026 changes are a reminder of how quickly risk can evolve.