Mission and Structure: The mission of New York’s Office of the Medicaid Inspector General (OMIG) is to “to enhance the integrity of the New York State Medicaid program by preventing and detecting fraudulent, abusive, and wasteful practices within the Medicaid...
The History of the OIG
March 22, 2021
HHS OIG: A BRIEF HISTORY A U.S. federal Inspector General (IG) is the head of an independent, non-partisan organization established within each executive branch agency. It is assigned to audit and investigate the agency’s operations to prevent fraud waste and...
A New Use for the National Plan & Provider Enumeration System (NPPES)
March 15, 2021
A Brief History of the NPI and NPPES As defined by the Centers for Medicare and Medicaid Services (CMS), the National Provider Identifier (NPI) is a unique 10-digit, intelligence-free identification number for covered health care providers and entities. This standard...
Antibody Everybody’s Initiative Helps Contribute to Medical Research
March 10, 2021
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The Often-Unknown Impact of OIG Exclusions
March 8, 2021
Search the internet on OIG enforcement and you will eventually find articles about nurses, physicians, pharmacists and other licensed medical personnel and their travails related to OIG exclusion. A common theme running through the articles is how unaware most were...
SAM.gov Continues to Evolve
March 1, 2021
Since 2017, the General Services Agency’s (GSA) Integrated Award Environment program office has been working to consolidate all related procurement tools into a single modernized online environment. The GSA manages federal acquisition and awards processes through 10 different websites which...
2021 Audit Alert: Background Checks for Nursing Home Employees
February 22, 2021
In January of 2021 Centers for Medicare and Medicaid Services (CMS) announced that they would be auditing compliance with the National Background Check Program for Long-Term Care Providers. The National Background Check Program was enacted by legislation in 2010 to...
What Providers Need to Know About Checking OIG Checks of the Exclusion List
February 15, 2021
U.S. healthcare providers who participate in federal or state healthcare programs such as Medicare or Medicaid must be vigilant in their hiring practices. Hiring or retaining excluded individuals or entities can subject providers to significant penalties if an employee, contractor,...
CMS Preclusion vs OIG Exclusion
February 8, 2021
On January 1, 2019, the Centers for Medicare & Medicaid Services (CMS) introduced a new tool for Medicare plans – the CMS Preclusion List. A previous article posted in 2018 provides an excellent overview of the new policy and process....
