Healthicity Blog

The OIG often advises healthcare organizations to “follow the money” when assessing compliance risk. That guidance applies just as well to the OIG itself.

Many organizations still approach compliance as a checklist—policies written, training completed, audits performed. But as Jill Fallows Macaluso explains in this episode of Compliance Conversations, the most effective compliance programs go far beyond requirements.

Staying ahead of regulatory expectations isn’t just good practice—it’s essential protection for your organization. Compliance issues rarely appear out of nowhere. Most of the time, early warning signs are already there; they just haven’t been assessed, documented, or addressed. That’s why regular...

Elevating Audit Consistency and Accuracy with Audit Manager+

Audit findings not only inform financial accuracy, they shape provider education, billing integrity, risk scoring, and long-term compliance trends. The quickest way to reduce variability across internal auditors, coders, and external...

Big news for nursing facilities: The OIG released its first-ever Segment-Specific Compliance Program Guidance (ICPG), beginning with Skilled Nursing Facilities and Nursing Facilities. This landmark update outlines new expectations for quality of care, resident safety, billing integrity, and...

Nursing homes are facing a new level of scrutiny. Not just around billing or staffing, but around whether critical safety events are being captured, investigated, and reported.

Many organizations believe they are handling compliance issues effectively — until they have to prove it.

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.