Healthicity Blog

Medicare audit reports are often treated as retrospective summaries, documents that explain what went wrong after the fact. But for organizations focused on strengthening their audit programs, they offer something far more valuable: a forward-looking view of risk.

An eye care organization in Pennsylvania recently agreed to pay $790,000 to resolve allegations of submitting improper Evaluation & Management (E&M) claims alongside bilateral eye injections. The violations, which occurred between 2018 and 2025, involved billing for same-day services in a way that...

It does not appear that the OIG took a summer break. They were busy adding new items to their Work Plan in August. We’ve highlighted a select number of them below.

The OIG added many new items to their work plan in July. We’ve highlighted a select number of them below.

Medicaid Fraud Control Units

1. NJ Doctor Pleads Guilty to $13 Million Telemedicine Fraud Conspiracy -

1. Cardiovascular Doctor Pleads Guilty to Healthcare Fraud -