Resources
for You and Your Team
OIG Advisory Opinion 26-10: What Digital Health Companies Should Know Before Paying Clinician Royalties
Can digital health companies pay physicians and other clinicians royalties tied to platform revenue, product sales, or adoption? In OIG Advisory Opinion 26-10, the Office of Inspector General rejected a proposed clinician royalty arrangement despite fair market value safeguards, finding that physician influence over product utilization created Anti-Kickback Statute concerns. This article explains the OIG's reasoning, key compliance lessons, and what digital health, clinical AI, RPM, RTM, telehealth, and health tech companies should know before structuring clinician compensation arrangements.
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.