Texas OIG and Medicaid Exclusions Under the guidance of Inspector General Stuart W. Bowen, Jr., Texas OIG functions within a singular mission: " To detect, prevent, and deter fraud, waste, and abuse through the audit, in...
Exclusion Screening VS. Fragmented Databases
May 30, 2016
Is Exclusion Screening even possible? The U.S. Government Accountability Office has recently released the results of a study conducted in order to gauge the reliability, uniformity, and exhaustibility of exclusion databa...
Daniel Levinson’s Parthenon of Compliance
May 18, 2016
The Parthenon of Healthcare Compliance https://youtu.be/5TQg1A3ovRA At the 2016 HCCA Compliance Institute, an annual conference for compliance stakeholders, Inspector General of the U.S. Department of H...
FDNY Medicare Fraud
May 10, 2016
The Frightening Reaches of Healthcare Fraud The U.S. public healthcare system loses approximately $60 billion annually to medical fraud. This disconcerting figure, which could have gone to better use and could h...
Permissive Exclusions Updates from the OIG to 1128(b)(7)
May 2, 2016
Recently on April 18, 2016, the Inspector General of the famed OIG issued a review and updates on their exclusion policies and how they go about permissive exclusions. The OIG was established back in 1976 in order to p...
NY Medicaid Exclusion
April 14, 2016
New York State Medicaid Exclusion New York’s Office of the Medicaid Inspector General exists to “to enhance the integrity of the New York State Medicaid program by preventing and detecting fraudulent, abusive, and wa...
Basic Guide to OIG Reinstatement
April 8, 2016
A Quick Guide to OIG Reinstatement Excluded healthcare professionals are banned from participating in any US healthcare program, including Medicare and Medicaid. Exclusion means individuals and entities are not allowed,...
Five Exclusion Stats Every Healthcare Provider Needs To Know
March 23, 2016
Exclusion Stats Here’s a collection of five interesting stats related to the List of Excluded Individuals and Entities (LEIE). If healthcare compliance is something that affects your business, then these exclu...
Nurse Turnover Rate – Infographic
March 16, 2016
Nurse Turnover Rate Infographic Healthcare is among the top three industries that suffer from high turnover rates. At 13.5%, Healthcare’s turnover rate is just a few points behind Banking (13.3%), and Hospitality (20....
