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.
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Posts by CJ Wolf:
Why Eye Services Remain a Top OIG Audit Priority
January 2026 OIG Work Plan: Six New Enforcement Signals Compliance Teams Can’t Ignore
Deeper Than the Headlines: How Small Billing Errors Trigger Big False Claims Act Risk
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...
DOJ’s $6.8 Billion False Claims Act Year: What the Data Reveals About Compliance Risk
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.
What’s Changing in 2026: Key HCPCS Level II Code Updates to Know
Each year, HCPCS Level II codes are updated to reflect changes in clinical practice, technology, and reimbursement policy, and 2026 is no exception. New, revised, and deleted codes can directly impact how services are reported, reimbursed, and audited.
December 2025 OIG Work Plan Updates: What Compliance Teams Should Watch
3 Simple Checklists to Strengthen Your Compliance Program
Staying ahead of regulatory expectations isn’t just good practice—it’s essential protection for your organization. Compliance issues rarely appear out of nowhere. Most of the time, early warning signs are already there; they just haven’t been assessed, documented, or addressed. That’s why regular...