Exclusion Screening 101 Exclusion screening occurs at both the federal and state levels. The federal government maintains two principal exclusion databases, the Office of the Inspector General (OIG)’s LEIE database ...

The U.S. Department of Health and Human Services established The Office of Inspector General (OIG) to carry out these basic functions: The identification and elimination of fraud, waste, and abuse of the programs initia...

Medicaid and Medicare frauds run to the tune of billions of dollars each year. Running a check on OIG exclusions is one way to catch this fraud, and also protect one’s healthcare system from doing business with blackl...

  The National Healthcare Anti-Fraud Association approximates 3 to 10 percent of annual healthcare expenditures account to fraudulent claims. This means that in the $600 billion spent for Medicare back in 2012, $60...

The exhilaration of tonight’s $1.5 billion Powerball drawing is attracting even people who don’t typically play the lottery. And, in many organizations, employees are pooling their resources with the promise of split...

How did healthcare compliance fare in 2015? Overall, it was quite a busy year for the OIG and various organizations, with noteworthy settlements and enforcement activities beginning as early as January. The OIG excluded ...

  Why does medical care cost so much, anyway? Dumb question.  It doesn’t take a rocket scientist to understand that healthcare costs.  Treatments cost, prescriptions cost, equipment costs.  Everybody knows th...

OIG Compliance requires a lot of things to remember.  However, since many people respond more pro-actively when they learn of the possible consequences, here is a short “to-don’t” compliance list instead of the us...

The Self-Disclosure Protocol is an important step in dealing with excluded individuals in your organization. It’s a tool for healthcare providers to volunteer information and to resolve exclusion issues in a timely man...