Healthicity Blog

In November of 2023, the Health and Human Services Office of the Inspector General (OIG) released an important guidance document called the General Compliance Program Guidance (GCPG). They have announced they will be publishing industry segment-specific guidance documents (ICPGs) as well. Though...

The U.S. Health and Human Services Office of Inspector General (HHS OIG) has written, “For a compliance program to be effective, the organization should establish appropriate consequences for instances of noncompliance, as well as incentives for compliance.”¹

The healthcare landscape is evolving rapidly, and compliance is more crucial than ever. The OIG’s November 2023 Healthcare General Compliance Program Guidance (GCPG) underscores the need for robust risk management and continuous improvement.

Recently, at the Health Care Compliance Association’s 28th Annual Compliance Institute, Robert K. DeConti, Chief Counsel to the HHS Inspector General provided one of the keynote addresses. He used the opportunity to tell a story of a hero’s journey. The hero in the story is a compliance officer...

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.

Our new Compliance Conversations episode spans a wealth of great topics!

A quick riddle for you. What totaled $12.59 billion over the course of 14 million transactions?  The answer: payments made to physicians and teaching hospitals in 2022 from industries such as medical device and pharmaceutical companies.

Depression and psychiatric conditions are relatively common in the elderly and nursing home residents. Effective treatments for these conditions can include medications, as well as psychotherapy. However, compliance professionals need to be aware of proper medical necessity, coding, and...