Healthicity Blog

Each year, CPT^® updates bring shifts that ripple across coding, auditing, and revenue integrity teams—and 2026 is no exception. This year’s changes highlight ongoing expansion in virtual care, refinements in surgical reporting, and the continued evolution of immunization coding.

November 2025 saw many new additions to the HHS OIG Work Plan.  

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...

Auditing and monitoring are core pillars of any effective compliance program. But as regulatory expectations evolve and OIG findings become increasingly detailed, it’s more important than ever for compliance teams to ensure their audit plans are aligned with current risks.

Critical care isn’t confined to the ICU anymore.

Audit teams know the drill: spreadsheets, shared drives, version confusion, unclear findings, follow-ups lost in email, and reporting that takes longer than the audit itself.

Strategies for Centralizing Policy Management Across Health Systems

For large and growing health systems, policy management is rarely simple. As new facilities are acquired, service lines expand, and regulatory expectations evolve, keeping policies consistent across the enterprise becomes a...

Introduction: Millions Lost to False Claims Allegations

In September of 2024 a surgical center and two physician groups agreed to pay approximately $12.76 million to resolve alleges they violated the False Claims Act because of improper financial relationships between the surgical center and the...