An Aging Population Triggers Proliferating Oversight From The OIG

Posted by Frank Strafford on March 24, 2015 in 2015 Work Plan, Exclusion Screening, OIG Penalties,

Elder care has been a concern for the nation over the past decade, and the need for qualified personnel and reputable facilities is continuing as a high demand.  With this swelling demand, there is growing concern over the level of competence in these facilities, and the fact that the aging population may significantly drain Medicare and SSA.

With Elderly Care proving to have one of the highest rates of increase, by nearly doubling over the past five years, it has also become one of the biggest industries that the OIG is looking at in regards to reform.  This An Aging Population Triggers Proliferating Oversight From The OIGmeans that HR managers in nursing homes, hospice care, and other elder care facilities should expect to receive audits and investigation over the next year, regardless of status of practices.

Expect Increased Fines

The release of the 2015 work plan by the OIG gives employers a slightly clearer picture of what is to come.  With last year showing over 4,000 exclusions and close to 1,000 penalties, many employers have become fearful of adhering to the parameters of restriction.  However, the recovery action of this year’s plan is highly focused on rectifying best practices, and the federal fiscal gain could benefit employers who are up to code.

One of the greatest concerns appears to the increase in audits that are expected to be performed.  It should be noted that while health and safety standards are high goals for this work plan, the stronger scrutiny of the auditing process is also focused on outright fraud and poor business practices.

The fine print of over $4 billion in receivables can also be read as hefty fines and penalties for non-adherence to federal hiring regulations.  While the OIG may be more concerned with fraud and misuse of SSA and Medicare funds, exclusion violations do contribute to this drain on the national budget.

Remain Current on Screening Excluded Employees

This means that employers must remain current on exclusion screening, and develop best practices in order to avoid the possibility of a penalty.  Oversights that allow for employees who may have become excluded to remain on staff will result in hefty fines.

Automated OIG checks can provide the protection that can catch such an oversight, and it is recommended that employers stay alert to status changes.

Take the worry out of employee screening, and Contact Streamline Verify today to learn about our full-proof screening services.

About Frank Strafford

About Frank Strafford

Related Articles

Points to Ponder on OIG’s ...

July 19, 2018

Incarcerating almost 200 medical professionals in June 2018, the Office of Inspector General (OIG) launches its largest healthcare fraud takedown in history so far. This concerted effort by the federa...

MFCU 2016 Annual Report: States Getting Better ...

June 5, 2017

State Medicaid Fraud Control Units are continuing a five-year trend of increasing convictions, civil settlements and exclusions for fraud and abuse. A report, released by the U.S. Department of Health...

Why One Doctor Just Ended Up ...

March 9, 2015

Anyone working in the field of healthcare human resources should understand the role of the Office of the Inspector General in both investigating fraud related to federal health care programs and pena...

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

Our Culture Icon Small

Blog

Stay ahead of healthcare compliance - updates that matter.

Ask Me Anything

Clear answers. Cleaner compliance.

Exclusion Compliance

Understand exclusions. Reduce risk.

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

AICP SOC Compliance Logo
HIPAA Compliance Logo
Our Culture Icon Small

Our Culture

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

AICP SOC Compliance Logo
HIPAA Compliance Logo