In Audit
Jan 2nd, 2026
Start the new year right by identifying your organization’s risk of an audit, or worse. Since 1998, the Office of Inspector General (OIG) has developed voluntary, nonbinding compliance program guidance documents (CPGs) to support healthcare industry stakeholders in their efforts to self-monitor their compliance with applicable laws and program requirements. CPGs have served as important ...
In Audit
Jan 2nd, 2026
Auditors are imperative to mitigating risk, upholding compliance, and guarding revenue integrity. A single coding mistake in the healthcare sector can cost an organization millions, initiate audits, or incur regulatory fines. Medical coding auditors are at the heart of compliance and serve as the first line of defense against these setbacks. They ensure that every claim ...
In Audit
Jan 2nd, 2026
Letting this area of your compliance program fall by the wayside will cost you. The healthcare industry is one of the most regulated industries in the United States, making it a high-stakes environment for both medical providers and organizations. While all compliance professionals are familiar with the seven key elements of a compliance program, auditing ...
In Audit
Jan 2nd, 2026
Myths, pain points, and progress. The landscape of behavioral health and drug dependence continues to evolve, marked by both encouraging policy wins and persistent systemic barriers. Overdose rates seem to be stabilizing after year-over-year increases, and telemedicine access for treatment medications has become permanent. Yet clinics and patients still face familiar struggles: limited access to ...
In Audit
Dec 2nd, 2025
Medicare paid durable medical equipment (DME) suppliers approximately $22.7 million in Part B payments for DME provided to enrollees while admitted as inpatients between 2018-2024, according to an audit conducted by the U.S. Department of Health and Human Services Office of Inspector General Office of Audit Services (OIG). Problem: DME is bundled into the facility ...