Healthicity Blog

CPT^® codes, HCPCS Level II, NCCI edits, ICD-10 — the updates land quarterly, and the compliance exposure lands right along with them. Audit Manager+ is built to handle every code set your organization touches, in one place, without rebuilding your workflow each time the landscape shifts.

We previously wrote about some of the highlights in the HHS OIG’s newest compliance program guidance for the Medicare Advantage segment of healthcare. The guidance is often referred to as the MA ICPG, and our prior posting can be found here.

This conversation comes at an important time. Vendor relationships have become more complex, more data-driven, and more critical to healthcare operations than ever before. And while organizations have long relied on contracts and business associate agreements to manage these relationships, the risk...

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.

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.

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.

Hiring the right compliance officer requires more than a list of standard interview questions. The strongest candidates can explain how they approach risk, investigations, education, HIPAA, audits, and cross-functional collaboration in real-world situations. Use this checklist to guide interviews,...

In this episode of Compliance Conversations, CJ Wolf sits down with Lisa Taylor, Chief Compliance Officer at Health & Hospital Corporation of Marion County, to unpack a new federal initiative that compliance leaders should not ignore: CRUSH, or Comprehensive Regulations to Uncover Suspicious...