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...
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Inside the New OIG Guidance for Medicare Advantage
Telehealth Compliance in 2026: What Changed, What’s Extended, and What Your Team Should Audit Now
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.
How to Use AI in Healthcare: Important Dos and Don'ts
Securing AI in Healthcare: What Compliance Must Do Before the Questions Become Consequences
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...
February 2026 OIG Work Plan Updates: Pharmacy Controls, Medicaid Financing, and Drug Access in Focus
Deeper Than the Headlines: Breaking Down a $328 Million Genetic Testing Fraud Scheme
Make It Make Sense: Why Your Medical Decision-Making Documentation Matters (and How to Improve It)
In this episode of Compliance Conversations, CJ Wolf sits down with Amanda Reikowsky, a Supervisor of PB Audit/Education and founder of CodeWise Solutions, LLC. With more than 13 years in the industry, Amanda brings a perspective shaped by auditing, education, risk adjustment work, and even...