Healthicity Blog

In this episode, we welcomed Stacey Crudup, Chief Compliance Officer at The SEES Group, to share her insights on why building relationships with team members on the front lines of healthcare is essential in driving strong compliance programs.

The OIG and the health care community share the goal of protecting patients from harm, which is why the OIG created new Adverse Events toolkits. These toolkits aim to advance patient safety through a discussion of methodological considerations when designing studies about patient harm and by...

It’s Halloween time and things can be scary. There are times when compliance can be scary too.

It's that time of year again – compliance programs are putting the finishing touches on their annual audit plan for the year ahead. Wrangling those fresh and familiar compliance risks is like a puzzle – you've got to be organized and clever to piece together a winning plan.

We're excited to introduce a thought-provoking podcast episode that dives into the world of compliance in healthcare and explores the ever-evolving challenges compliance professionals face in their careers.

Medicare Advantage Compliance Under the Spotlight: Lessons from Cigna's $172 Million Settlement

$172 million is a lot of money. It's also the amount that the Cigna Group recently agreed to pay to resolve allegations it violated the False Claims Act in relation to its Medicare Advantage (MA) plan...

The Inspector General of HHS has warned the healthcare compliance community that reimbursement methodologies associated with Medicare Advantage would be a top priority. Included in these efforts is an enhanced focus on Hierarchical Condition Categories (HCC) and risk adjustment.

While the OIG didn’t add a high number of items to its Work Plan in September 2023, the updates it did make are critical.