Healthicity Blog

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...

The OIG added many items to its work plan in July 2025. Below we have summarized a few of these items most likely to affect health care provider organizations.

During our webinars on the OIG’s ICPG for Nursing Facilities (watch Part 1 and Part 2) questions arose about the Minimum Data Set (MDS). 

Watch our webinar for a step-by-step discussion on how to build a focused audit plan—from stakeholder input to risk filtering and prioritization.

Recent enforcement actions highlight the ongoing need for proactive compliance oversight in credentialing, billing practices, and financial relationships with referral sources. 

When your staff sees something, they need a simple, safe way to say something. Traditional reporting methods often create barriers that delay or prevent critical information from being shared. SmartLine removes those barriers by putting powerful, confidential reporting tools directly into your...

The OIG added four items to its work plan in May 2025. Compliance professionals should be aware of the issues and assess their own organization to determine if the new Work Plan items affect them.

In the latest Deeper Than the Headlines feature, we unpack a recent $427,000 settlement involving a Connecticut-based physiatrist and her practice that underscores a persistent risk area for providers: improper use of Modifier 25.