Healthicity Blog

In November 2024, the OIG released its first-ever Industry Segment-Specific Compliance Program Guidance (ICPG), starting with Skilled Nursing Facilities and Nursing Facilities. This guidance highlights key compliance risks and reinforces the importance of resident safety and quality care. 

The OIG only added one Work Plan item in January 2025, however, it is a significant item for compliance professionals to review.

The American Medical Association’s (AMA) CPT^® Manual undergoes many changes on an annual basis and many of those changes become effective January 1st each year. 2025 is no exception. 

“The Justice Department will continue to pursue individuals — including C-suite executives — who commit health care fraud.” This statement comes from the Principal Deputy Assistant Attorney General Brian M. Boynton, head of the Justice Department’s Civil Division.

The new year brings new changes to the CPT^® code set, and 2025 is no exception. With significant updates affecting telemedicine, integumentary systems, and CAR-T therapy, it’s crucial for healthcare professionals to understand these revisions to stay compliant and efficient.

Explore these updates to understand the risks, regulatory changes, and the potential implications for compliance in these areas of healthcare oversight.

The OIG has added some very significant items to their Work Plan in November 2024.

Some members of governing boards are not entirely comfortable with their oversight responsibilities related to the organization’s compliance program.