Healthicity Blog

Preventing Medicare fraud and abuse requires risk-based planning, auditing, documentation, reporting, investigation, and corrective action tracking. Organizations must maintain consistent oversight, monitor trends, and document compliance activities to demonstrate accountability and reduce...

Healthcare audits are becoming more data-driven, more visible, and more critical to organizational performance. But many audit teams are still relying on spreadsheets, manual processes, and disconnected systems that weren’t built for today’s demands.

Coding updates aren’t confined to annual releases, and the April 2026 changes are a reminder of how quickly risk can evolve.

Eye services remain a consistent area of focus for the OIG, with recent audit activity highlighting patterns that can quickly turn into repayment exposure: E/M services billed on the same day as intravitreal injections, high-level nursing facility E/M services billed by optometrists, and diagnostic...

The long-awaited Medicare Advantage Industry Segment-Specific Compliance Program Guidance (ICPG) has recently been released by the HHS OIG. It serves as an updated, voluntary resource intended to help Medicare Advantage Organizations (MAOs) and other Medicare Advantage Parties or “MA Parties”...

In this episode of Compliance Conversations, CJ Wolf welcomes back Keisha Wilson, founder of KW Advanced Consulting, to unpack one of the most fast-moving areas in healthcare compliance: telehealth.

AI continues to reshape healthcare, but like any powerful tool, it brings new responsibilities. Without proper guardrails, organizations can unintentionally expose patient data, introduce bias, or fall out of compliance with regulatory expectations.

Artificial intelligence is no longer a future-facing initiative in healthcare. It is already embedded in documentation workflows, revenue cycle tools, predictive analytics platforms, patient engagement systems, and operational decision-making. In many organizations, AI is being deployed rapidly in...