Resources
for You and Your Team
OIG Audit Alert: What are the Key Medicare Compliance Risks in Virtual Check-Ins and E-Visits?
The OIG’s April 2026 audit report signals heightened Medicare enforcement for virtual check-ins and e-visits. Digital health providers face increasing scrutiny over timing violations, duplicative billing, Modifier 25 misuse, and improper reimbursement for communication technology-based services (CTBS). This article breaks down the OIG’s findings, CMS’s response, and the key compliance steps digital health companies should take now to reduce audit risk and prepare for stricter claims oversight.
OIG Work Plan Targets Chronic Care Management: What Care Management Companies and Investors Need to Know
The OIG’s 2026 Work Plan includes a major audit of Medicare Chronic Care Management (CCM) services, focusing on eligibility, documentation, and vendor oversight. With rising Part B payments, regulators are targeting compliance risks tied to “multiple chronic conditions” requirements. This article outlines key audit triggers, common red flags, and how care management companies and investors can proactively strengthen compliance ahead of federal scrutiny.