Healthcare organizations are moving fast on AI adoption, digital transformation, and integrated care coordination. At the same time, regulators are increasing scrutiny around HIPAA, privacy protections, data governance, and 42 CFR Part 2 compliance.
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MA ICPG Spotlight: Four Medicare Advantage Risk Areas Compliance Teams Should Review
Previously we 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.
DOJ FCA Enforcement Is Escalating: 5 Compliance Risks to Watch
Multistate AI Compliance: Key Differences Between Texas HB 149 and Colorado SB 24-205
As artificial intelligence becomes more embedded in healthcare operations, state-level regulation is evolving just as quickly. For organizations operating across multiple states, that means navigating not just one set of rules—but several, each with its own expectations, definitions, and...
AI in Healthcare: A Clinician's Honest Take on What Works and What Doesn't
What the 2025 Data Reveals About Where Compliance and Auditing Are Going Next
Breaking Down the Latest OIG Work Plan Updates for April 2026
Deeper Than the Headlines: When Financial Relationships and Documentation Break Down
In the latest installment of Deeper Than the Headlines, CJ Wolf, MD, examines a recent enforcement action involving a Florida-based medical practice and its physician owner, who agreed to pay over $415,000 to resolve allegations under the False Claims Act.
While the dollar amount may not be the...