In one recent 2026 audit, the HHS-OIG identified billing issues in 38 of 100 sampled claims and estimated at least $17.8 million in Medicare overpayments.
Another recent audit estimated $4.7 million in overpayments after identifying compliance issues in 33 of 100 sampled claims.
The message for healthcare organizations is clear:
Small breakdowns in documentation, coding, charge capture, billing, and internal controls can create significant financial and compliance exposure.
Revenue integrity is no longer just about ensuring charges make it onto a claim.
Today, healthcare organizations must ensure that documentation, coding, billing, charge capture, payer requirements, reimbursement, denials, and compliance controls all work together.
This practical, compliance-focused webinar will help you identify where revenue leakage and billing risks occur—and strengthen your processes before an auditor, payer, or regulator finds the problem first.
Toni Elhoms is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, compliance, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC (ACE). She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). Ms. Elhoms’ expertise extends to both inpatient and outpatient coding, compliance, billing, and reimbursement. Ms. Elhoms serves as ACE’s Senior Consultant and conducts training and educational seminars across the country on a variety of topics including, but not limited to, Medical Coding, Medical Billing, Practice Management, Managed Care, Revenue Cycle Management, Revenue Maximization, Regulatory Compliance, etc.
