Healthicity Blog

When most organizations think of audits, they picture risk exposure, tedious manual reviews, and stacks of reports that never seem to drive meaningful change. But when done right, audits aren’t just about identifying problems. They’re about protecting your revenue.

AI is no longer optional in healthcare—it’s everywhere, from documentation tools to patient-facing chatbots. But as innovation accelerates, so does regulatory scrutiny.

In August 2025, the U.S. Attorney for the Southern District of New York announced the sentencing of Dr. Niranjan Mittal, a Brooklyn cardiologist, to 37 months in prison. Dr. Mittal pled guilty to one count of violating the Anti-Kickback Statute in connection with a scheme that included improper...

In healthcare, strong compliance and revenue cycle management go hand in hand. In our latest Compliance Conversations podcast episode, host CJ Wolf welcomes Melinda Hawk, recently honored as Healthicity’s Revenue Cycle Manager of the Year.

This checklist distills the top takeaways from our recent webinar on hospital audit planning, offering practical steps and expert insights to help your team build a stronger, more strategic audit program.

Healthcare compliance incidents can emerge at any time, like an anonymous report of an over payment, suspicious ePHI access alert, or a whistleblower allegation of suspected fraud. For compliance teams, managing these incidents quickly, accurately, and within federal and other regulations is...

With the launch of the CMS TEAM Model, nearly 1,000 hospitals across the U.S. are entering a new era of accountability, care coordination, and financial risk. For the first time in recent history, CMS is mandating that selected hospitals take full responsibility for the cost, quality, and outcomes...

An eye care organization in Pennsylvania recently agreed to pay $790,000 to resolve allegations of submitting improper Evaluation & Management (E&M) claims alongside bilateral eye injections. The violations, which occurred between 2018 and 2025, involved billing for same-day services in a way that...