The following is based on a true story. Warning: This is not a bedtime story! Content may induce sleeplessness or even nightmares. The Initial UPIC Audit A busy wound care practice receives a Unified Program Integrity Contractor (UPIC) medical record request covering a small number of patients with multiple dates of service. The practice responds, producing the requested records and supporting documentation. A few months later, the decision arrives: 100% denial. While certainly not the
August 20, 2026
Beyond the Annual Audit: Compliance Risks Do Not Wait
A healthcare organization can pass an audit in January and face a serious compliance failure in February. Coding patterns can shift, a vendor can gain access to protected information, an employee can use an unapproved AI tool, or a security control can fail. Meanwhile, claims and data continue moving, and the problem may remain hidden until damage is already underway. Annual audits still matter. But in a constantly changing environment, a point-in-time review cannot provide
August 11, 2026
Sacroiliac (SI) Joint Injections Hit the OIG’s RadarÂ
What Is an SI Joint Injection? The sacroiliac (SI) joint connects your spine to your pelvis, and when it becomes irritated or inflamed, it can cause pain in your lower back, hips, or buttocks that sometimes radiates down the leg. An SI joint injection delivers medication directly into or around this joint, using imaging guidance (like fluoroscopy or ultrasound) for precision. There are two main types of SI joint injections, and understanding the difference matters:




