Click Infographic To Enlarge Here are some interesting takeaways to note: Nurses are still the most excluded among healthcare professionals -- higher than any other group including personal care providers and home health aides. Nurse exclusions reached an average of 1,638 and...
HCCA’s 2017 Compliance Institute, a Smashing Success
April 6, 2017
With close to three thousand attendants, the HCCA Compliance Institute 2017 kicked off another successful summit and reached a wider audience than we’ve ever seen before. Those numbers also highlight how healthcare compliance has become an issue respected by professionals...
Phantom of the Oscars: How Compliance Checking Could’ve Saved the Night
March 1, 2017
It’s an event that will go down in history: the Great Oscar Debacle of 2017. Nobody could possibly forget that fateful moment when Faye Dunaway attempted to regroup from a dazed and confused Warren Beatty reaction to being handed the...
How Nurse Fraud & Their Exclusions are Taking a Serious Toll on the Healthcare System
February 27, 2017
Nurses Most Excluded Position Type Every Year When reviewing the numbers of LEIE exclusions, it is alarming to see the dramatic difference between nursing and other medical fields: Nurses are excluded from participating in any Federal Medicare/Medicaid programs more than...
Understanding OFAC Administered Sanctions Programs
January 16, 2017
The Role of OFAC The U.S. Office of Foreign Asset Control (OFAC) is the department of the U.S. Treasury responsible for promoting U.S. foreign policy and national security agenda with regard to foreign powers, whether individuals, countries, or regimes, whose...
Healthcare Hand-off: Obama’s Outgoing Health Cabinet vs. Trump’s New One
January 4, 2017
It’s no secret that Republicans want to replace Obamacare with another option. According to polls, 53% of Americans disapprove of ACA, and 45% have shown their approval. With the public as well as party lines divided on the issue, some...
Health Compliance: A Guide for MAOs & Their FDRs
December 22, 2016
Hand Holding Magnifying Glass Seaching Missing Puzzle Pieces "COMPLIANCE" One of the ways that the Centers for Medicare and Medicare Services (CMS) ensures quality service and safety throughout their vast network of organizations is to require that all MAOs (Medicare...
Avoid Medicaid Recoupment: Verify Beneficiary Date of Death with the Death Master File
December 19, 2016
Crisis Concept. Money Flow in Black Hole extreme closeup The CMS requires State Medicaid agencies to use the Social Security Administration’s Death Master File to screen and verify all providers. It should be noted that the CMS says its prudent...
The NPI Registry and Why It Matters
December 12, 2016
What is an NPI Number? Provider Identifiers (NPIs) were created to ensure for accuracy and efficiency in the health care system when it comes to transmitting information that references healthcare providers electronically, with an aim to help reduce fraud and abuse. That is, with so many possible variables, a system of unique numerical identification for each provider was a clear way to streamline operations.
