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)
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
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
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
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
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....
NJ Medicaid Exclusions
Medicaid Exclusion for NJ New Jersey Medicaid Fraud Division On June 29, 2010, the duties and functions of the Office of the Medical Inspector General were transferred to the Office of the State Comptroller through the ...
How to Do Pre-employment Screening the Right Way
OIG Background Check Basics: Not every medical practice is large enough to employ a full-time compliance officer, but every medical facility is large enough to get slammed by the OIG for messing up on some part of the sc...
Ohio Medicaid Provider Exclusion and Suspension List
Ohio Medicaid Provider Exclusion and Suspension List The Ohio Department of Medicaid (ODM) was founded in July 2013. It is the premier Executive-level Medicaid agency of the state of Ohio. Led by Director John B. McCart...