✅ Free Checklist
The 47-Point Medical Billing Compliance Checklist
HIPAA, OIG risk areas, documentation standards, and audit readiness — for 2026.
CMS and OIG audit activity in medical billing reached a 5-year high in 2025. This checklist covers every compliance risk area — from HIPAA to False Claims Act exposure — and gives you a 47-point framework for assessing your practice's current risk posture.
What's Inside
- HIPAA billing compliance requirements — 12 non-negotiable checkpoints
- OIG Work Plan 2026: the billing patterns under active audit
- Documentation standards for E/M services under 2021 guidelines
- The 8 most common False Claims Act exposure points in billing
- Modifier use compliance: the modifiers that trigger OIG scrutiny
- Incident-to billing rules — the compliance exposure most practices miss
- Split/shared billing compliance for physician/APP teams
- The 5-minute self-audit that identifies your highest compliance risk
Who is this for?
Practice administrators, office managers, billing supervisors, and physicians who want data to benchmark their practice's billing performance and identify the highest-impact improvement opportunities.