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