Healthicity Blog

Behavioral health compliance comes with its own unique challenges—and it can feel like the rules are always changing. To make it easier, we pulled together a set of resources that break down the latest updates, highlight enforcement trends, and share practical tips you can put to work right away.

Durable Medical Equipment

For decades compliance professionals have been reading Department of Justice press releases related to fraud, waste, and abuse involving durable medical equipment (DME). DME includes prosthetics, orthotics, and supplies (also known as DMEPOS).

In August 2025, the U.S. Attorney for the Southern District of New York announced the sentencing of Dr. Niranjan Mittal, a Brooklyn cardiologist, to 37 months in prison. Dr. Mittal pled guilty to one count of violating the Anti-Kickback Statute in connection with a scheme that included improper...

In healthcare, strong compliance and revenue cycle management go hand in hand. In our latest Compliance Conversations podcast episode, host CJ Wolf welcomes Melinda Hawk, recently honored as Healthicity’s Revenue Cycle Manager of the Year.

Behavioral health providers face a unique set of compliance challenges. From protecting patient privacy to managing sensitive documentation and ensuring ethical care delivery, the stakes are high. That’s why the Office of Inspector General’s (OIG) Seven Elements of an Effective Compliance Program...

This checklist distills the top takeaways from our recent webinar on hospital audit planning, offering practical steps and expert insights to help your team build a stronger, more strategic audit program.

Few coding modifiers have drawn as much scrutiny as modifier -25. Used to indicate a significant, separately identifiable evaluation and management (E/M) service on the same day as another procedure, modifier -25 has long been a point of focus for third-party payors and government enforcement...

Healthcare compliance incidents can emerge at any time, like an anonymous report of an over payment, suspicious ePHI access alert, or a whistleblower allegation of suspected fraud. For compliance teams, managing these incidents quickly, accurately, and within federal and other regulations is...