13 Days, 250K in OIG Fines

Posted by Frank Strafford on February 5, 2015 in Industry News, OIG Penalties,

Looks like the OIG means business.

13 Days, 250K in OIG FinesOver the course of the past 13 days, over $250,000 in fines have been meted out due to the alleged employment of excluded individuals.  The first involved a Minnesota pharmacist who owned and managed a pharmacy that participated in Federal health care programs while he was excluded from participating in these programs.  The second involved an Alabama hospital which employed an individual who was excluded from participating in any Federal health care programs.  And the third involved a group home in Arizona, which had employed a nurse who has been excluded from participation in Federal health care programs.

Three different states; three different types of providers; three different fields of employment.

All nailed under the same exclusion mandate.

Points to ponder:

  • The excluded individual at the Alabama facility was identified through ‘a data analysis project initiated by the OIG’s Office of Evaluation and Inspections’.  The OIG post and website make no mention of when, how, and why this data analysis project was launched; nor of how extensive it is, and which providers are earmarked for future data analyses.
  • Penalties extended across several states and types of facilities; nobody appears to be immune.

Employers take note.

About Frank Strafford

About Frank Strafford

Related Articles

The Mannequin Challenge #TheHIPAAWay

November 20, 2016

There is no question that a large number of social video challenges have been extremely useful for all kinds of purposes and the latest trend is called The Mannequin Challenge. We have already seen ot...

Healthcare Fraud: Be Afraid. Be Very ...

August 17, 2015

            The healthcare industry needs a reliable compliance system more than ever. Healthcare Fraud is rearing its ugly head hundreds of times more than any other...

Considering Medicare Advantage as Your Next ...

April 5, 2022

Health plans considering Medicare Advantage or Medicaid as a new line of business need to be well informed of the greatly enhanced oversight and requirements they will face compared to state regulatio...

Understanding OIG Exclusions

OIG Exclusions Screening Process

Exclusion FAQS

Quick OIG Exclusion Basics

Employing Excluded Individuals

Consequences to Employing an Excluded Individual

OIG Compliance Law

Laws and Publications on OIG Compliance

More Compliance Resources

The Verify Way!

We build the best, so you can perform at your best.

Trusted for Good Reason

  • ✓ Guaranteed accurate
  • ✓ Certified Secure
  • ✓ Audit Proof
  • ✓ Feature-rich reporting
  • ✓ Round the clock real-time-data
  • ✓ Processing fully automated

Security First

  • ✓ Cloud hosted
  • ✓ Encrypted data
  • ✓ Real-time backups

Trusted for Accuracy

  • ✓ Physical security
  • ✓ Restricted access
  • ✓ Single sign-on
  • ✓ Password security
  • ✓ Certified secure
  • ✓ Cross checking

HEALTHCARE ESTABLISHMENTS NATIONWIDE COUNT ON STREAMLINE VERIFY

5

60%

Average workload reduction by implementing the Streamline Verify program

5

10K

Establishments trust Streamline Verify nationwide

5

2011

Serving the healthcare industry’s unique compliance needs since 2011

5

24X

Setting standards with hourly synchronization to primary source data

[class^="wpforms-"]
[class^="wpforms-"]