Healthicity Blog

A recently announced Botox fraud conviction is drawing attention across the healthcare industry, not only because of the size of the alleged fraud, but because of the compliance and oversight failures involved throughout the case.

In November 2023, the Office of Inspector General published its updated General Compliance Program Guidance (GCPG). This was the first comprehensive revision to the seven elements framework in nearly two decades. For healthcare organizations still running their compliance programs from old...

Healthcare compliance programs are entering a new phase.

Every year, healthcare compliance officers face the same challenge: predicting where federal scrutiny is headed before it reaches their organization. The OIG Work Plan 2026 gives compliance teams a meaningful head start. It outlines where the Health and Human Services (HHS) Office of Inspector...

Healthcare organizations are moving fast on AI adoption, digital transformation, and integrated care coordination. At the same time, regulators are increasing scrutiny around HIPAA, privacy protections, data governance, and 42 CFR Part 2 compliance.

In the latest installment of Deeper Than the Headlines, CJ Wolf, MD, examines a recent enforcement action involving a Florida-based medical practice and its physician owner, who agreed to pay over $415,000 to resolve allegations under the False Claims Act.

While the dollar amount may not be the...

Most organizations run compliance and auditing as separate tracks. This guide explains how to connect them into a single, continuous loop so findings drive action, and action gets verified.

We previously wrote about some of the highlights in the HHS OIG’s newest compliance program guidance for the Medicare Advantage segment of healthcare. The guidance is often referred to as the MA ICPG, and our prior posting can be found here.