Healthicity Blog

In this episode of Compliance Conversations, host CJ Wolf sits down with Alicia Shickle, AHFI, CHC, CPC, CPCO, CPMA, CRC, the President and CEO of ProCode Compliance Solutions LLC, a healthcare compliance veteran with nearly four decades of experience. Alicia has seen it all, from family practice...

The Centers for Medicare & Medicaid Services’ Targeted Probe and Educate (TPE) program is one of the processes that Medicare administrative contractors (MACs) can use when providers are selected by medical review. CMS claims this review process is designed to help providers reduce claim denials and...

The OIG added several new items to its work plan in April 2024, let’s review three key updates.

Happy Compliance New Year! 

Medicare Advantage Compliance Under the Spotlight: Lessons from Cigna's $172 Million Settlement

$172 million is a lot of money. It's also the amount that the Cigna Group recently agreed to pay to resolve allegations it violated the False Claims Act in relation to its Medicare Advantage (MA) plan...

The U.S. Department of Health and Human Services Office of Inspector General (OIG) added a large number of new items to its Work Plan in July – more than previous months. Let's take a closer look at some key highlights.

In June 2023, the U.S. Department of Health and Human Services Office of Inspector General (OIG) added many more items to their work plan. Let’s take a look at some that may be particularly important for compliance professionals in the health care industry.