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 Health and Human Services (HHS OIG), Daniel R. Levinson, delivered a keynote address...
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 have benefited recipients who are legitimately in need,...
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 prevent future healthcare...
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 wasteful practices within the Medicaid program and...
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, either directly or indirectly, to receive payment from any of...
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 exclusion stats tell a cautionary tale. The five most...
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 (20.2%). It is easy to dismiss these numbers by...
NJ Medicaid Exclusions
March 15, 2016
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 P.L. 2010, Chapter 33,...
How to Do Pre-employment Screening the Right Way
February 24, 2016
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 screening process....
