Healthicity Blog

Eye services remain a consistent area of focus for the OIG, with recent audit activity highlighting patterns that can quickly turn into repayment exposure: E/M services billed on the same day as intravitreal injections, high-level nursing facility E/M services billed by optometrists, and diagnostic...

The long-awaited Medicare Advantage Industry Segment-Specific Compliance Program Guidance (ICPG) has recently been released by the HHS OIG. It serves as an updated, voluntary resource intended to help Medicare Advantage Organizations (MAOs) and other Medicare Advantage Parties or “MA Parties”...

In this episode of Deeper Than the Headlines, we take a closer look at a case that initially sounds like a shocking headline, but reveals far more when examined through a compliance lens.

The Office of Inspector General (OIG) has released its long-awaited Industry Segment-Specific Compliance Program Guidance (ICPG) for Medicare Advantage (MA), offering a clearer picture of where regulators are focusing their attention and what organizations should be prepared to address.

Eye and vision services continue to draw close attention from the Office of Inspector General—and the trend isn’t slowing down.

The HHS OIG Work Plan is starting off 2026 with a bang by announcing six new work plan items.

When headlines announce six-figure or seven-figure False Claims Act (FCA) settlements, it’s easy to assume the underlying misconduct involved massive volumes of improper billing. But in the latest episode of Deeper Than the Headlines, CJ Wolf breaks down a Florida physical therapy case that proves...

The Department of Justice’s announcement of $6.8 billion in False Claims Act recoveries for fiscal year 2025 marks a historic high—and a clear message to healthcare organizations.