2026 OIG Audit Survival Guide
23 must-have items that saved our clients millions.
Download free →“My Vendor Said It Was Compliant” Is Not a Legal Defense.
Liability for OIG audits and clawbacks rests 100% with your practice, not your vendor. FairPath is the only Compliance-as-Code platform that builds an immutable, auditable, and defensible record for every single claim—before it's even submitted.
See the CMS/OIG Audit Signals We Flag See the “Compliance-as-Code” Engine ↓Your Vendor Has the Profit. You Have the Liability.
Full-service vendors hide their billing logic. Their “compliance” is a sales promise, not a feature. When the OIG comes knocking, you won’t have the data to defend yourself.
The “Code Stacking” Trap
Billing APCM and CCM in the same month—or RPM and CCM without clear audit trails—creates massive clawback risk. These gray zones are what OIG auditors target.
The “MAC” Minefield
Local MAC rules can be stricter than CMS guidelines. Vendors using generic billing logic put your claims at risk for denials or even fraud alerts.
The “Data Hostage” Audit
Auditors ask for proof of 16-day data. Your vendor hands over a messy spreadsheet. Without immutable proof, your claim is indefensible, triggering clawbacks.
If It’s Not in the Code, It’s Not Compliant.
FairPath’s Compliance-as-Code engine embeds hundreds of federal and local MAC rules directly into the workflow. It’s not a “check” at the end—it’s the foundation of every claim.
Example Checks: PASS (16 Days of Data) • PASS (Consent on File) • FAIL (Conflict: CCM Billed) → CLAIM BLOCKED
De-Risk Your Entire Remote Care Program
The “Pre-Flight” Claim Check
Stop denials before they happen. Our dashboard shows a red/green status for every patient, highlighting safe, risky, and non-compliant claims in real time.
The Immutable Audit Trail
Every action—from nurse notes to AI reminders to claim creation—is logged with timestamp and user ID. Generate a full audit report in one click.
100% Data Sovereignty
Export your entire audit and patient history anytime. FairPath guarantees full data ownership—no lock-in, no redactions, no excuses.
Pass Your Next Audit in 60 Seconds.
This is what your vendor can’t—or won’t—give you.
Sample Report: John Smith | CPT 99454 | Consent: Signed | Data: 16 Days | Conflicts: None | Status: AUDIT-PROOF
Request a Sample Audit-Ready Report
