Florida Medicaid Fraud Medicaid fraud in Florida results in losses of more than 6 billion dollars each year. Such is the state’s reputation for being a hotspot for this kind of fraud that Nigerian and Russian scamsters from other states...
Arkansas Medicaid Exclusion
July 20, 2016
All you need to know about Arkansas Medicaid Exclusions The Arkansas Medicaid Inspector General (OMIG) was established on April 23, 2013, in pursuant to the Arkansas Act 1499, whose purpose include: The creation of a new state agency that...
Positive Numbers: Highlights of the 2016 Spring Report from the HHS OIG
July 12, 2016
Positive Numbers: Highlights of the 2016 Spring Report from the HHS OIG One thing evident in the recently released Spring Report for 2016 from The Department of Health and Human Services’ Office of Inspector General is this: the country’s...
Why Do Some Nurses Commit Fraud?
June 28, 2016
Nurse Fraud Nurses have become heavily involved in a spate of health-care related fraud news in recent years. One of the most controversial reports of fraud from the Department of Justice was in 2011, which involved eight Miami nurses who...
The Fraud That Binds?
June 20, 2016
Just a few months into 2016, and already, a mother-daughter tandem is causing ripples in the health care pond by pleading guilty to second-degree Medicaid fraud in Hawaii last March 9. The “mother” in this case is a former...
Compliance Officers and the HR Department
June 14, 2016
The Differences between Compliance Officers and the HR Department The HR department of any organization has a crucial role to play in ensuring compliance, and company compliance officers have the important responsibility of ensuring that the human resources department...
Texas OIG and Medicaid Exclusions
June 6, 2016
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, investigation, and inspection of federal...
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 databases available to healthcare providers. Considering that Medicaid remains highly...
