Healthicity Blog

A recent enforcement action involving a New York hospital system offers a powerful reminder that physician agreements are only as strong as their execution.

As healthcare organizations close out another year of shifting regulations, evolving technology, and heightened enforcement, one reality is clear: compliance has moved from a back-office function to a business-critical strategy.

Many organizations still approach compliance as a checklist—policies written, training completed, audits performed. But as Jill Fallows Macaluso explains in this episode of Compliance Conversations, the most effective compliance programs go far beyond requirements.

Elevating Audit Consistency and Accuracy with Audit Manager+

Audit findings not only inform financial accuracy, they shape provider education, billing integrity, risk scoring, and long-term compliance trends. The quickest way to reduce variability across internal auditors, coders, and external...

Nursing homes are facing a new level of scrutiny. Not just around billing or staffing, but around whether critical safety events are being captured, investigated, and reported.

Many organizations believe they are handling compliance issues effectively — until they have to prove it.

In this month’s Deeper Than the Headlines, CJ Wolf breaks down a federal fraud case involving a physician who pled guilty to submitting false claims related to genetic testing. The doctor, a co-owner and advisor to a diagnostic lab in Georgia, conspired with others to generate medically unnecessary...

Critical care isn’t confined to the ICU anymore.