In today’s rapidly evolving healthcare landscape, staying compliant with updated credentialing standards is more crucial than ever. The National Committee for Quality Assurance (NCQA) has introduced significant updates...

OMIG Exclusion: What It Is and How to Check New York’s Medicaid Exclusion List Healthcare compliance officers in New York face strict obligations when it comes to screening for excluded providers. One critical task ...

The healthcare compliance landscape is one of perpetual evolution, shaped by the ever-changing regulatory environment and enforcement practices. At the core of ensuring compliance within federal healthcare programs lies ...

IntroductionUnder Sections 1128 and 1156 of the Social Security Act (the “Act”), the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services (“HHS”) has authority to exclude fr...

Healthcare businesses — hospitals, medical practices, health insurers, medical device manufacturers, and the like — live in a world of heavy regulation. That regulation comes from the Office of the Inspector General ...

Based on OIG guidance from the United States Department of Health and Human Services Office of Inspector General (“OIG”), this article serves as a guide for non-profit, tax-exempt organizations under Section 501(c)(3...

The exact steps for a provider or medical director of a hospice to enroll or opt-out of Medicare may vary, but generally, the process involves the following steps: Determine eligibility: Ensure that the provider or m...

A New Era of Enhanced Safety and Accountability Effective January 1st, 2024, Washington's in-home care landscape will undergo a transformative shift towards enhanced safety and accountability. The implementation of st...

The Office of Inspector General (OIG) today updated the LEIE Downloadable List – an addition of a staggering 403 new names to the Exclusion List. This marks the highest number of new entries for the entire year of 2023...