Healthicity Blog

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...

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.

Senior Medicare Patrol Projects

In 1997, a recommendation in a congressional committee associated with legislation created an initiative involving seniors’ efforts to prevent Medicare fraud, waste and abuse. The efforts are formalized through the Administration for Community Living's Senior...

The OIG added multiple Work Plan items in February 2025. Let’s take a closer look at the items that may affect your organization.

Explore these updates to understand the risks, regulatory changes, and the potential implications for compliance in these areas of healthcare oversight.

The October 2024 updates to the OIG Work Plan highlight key areas of concern and oversight aimed at improving quality and compliance within healthcare services. Let’s review a few key updates.

As technology in healthcare advances, payors (like Medicare) adjust some of their coverage policies. One area that has seen increased coverage and use in the Medicare program is remote patient monitoring.

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.