A risk-based internal audit is a structured review of your highest-risk coding and billing areas. These are the areas where errors are most likely to happen and would [...]

A healthcare compliance budget covers the people, processes, and tools your organization needs to build, manage, and document for an effective compliance program. OIG's General Compliance Program Guidance [...]

Many coding, billing, and compliance teams set next year's audit plan in Q4. OIG audit priorities for 2026 are a useful starting point, because the HHS Office of [...]

Medical coding audit software is a platform that standardizes how auditors review clinical documentation against assigned codes, such as ICD-10, CPT, and HCPCS. It gives auditors one place [...]

October is Cybersecurity Awareness Month, an annual campaign that encourages organizations and individuals to improve their security habits. Cybersecurity Awareness Month in healthcare is a good time to [...]

The OIG exclusion list should be checked before anyone starts work and then every month after that. For any healthcare organization, this makes exclusion screening an ongoing responsibility [...]

Knowing the difference between OIG and SAM exclusion screening comes down to scope. OIG (Office of Inspector General) exclusion screening checks the List of Excluded Individuals and Entities, [...]

A regulatory audit request usually comes with a deadline. For many healthcare organizations, responding means tracking down policies, training records, signed agreements, and remediation notes. These records are [...]

You know a risk assessment is required. You also know it's been sitting on your to-do list far too long, mostly because it's not clear where to start [...]