An attorney with HHS’ Office of Inspector General said Thursday that the OIG is hiring additional lawyers to look into taking more administrative actions against doctors. They're looking for the types of questionab...

    I Found Out I Employed An Excluded Party...Now What? (Understanding Self-Disclosure Protocol)     Discovering that you’ve employed an excluded individual can happen even to the most meticu...

Is the Texas OIG more aggressive than other states?  More efficient?  More serious? Maybe all of the above. Although all state OIGs have an equal mandate to discover and prosecute medical facilities who have employed o...

Since the Affordable Care Act was passed in 2010, there has been a pronounced crackdown on health care-related fraud. Why, then, have revoked/terminated providers managed to slip through the cracks and are still taking a...

Is it the Compliance Department’s or HR? Many healthcare companies find this particular issue a source of confusion, which often results in astronomical penalties. Exclusion screening requires a specific policy and pro...

Healthcare companies can have a strong exclusion screening program and have it strictly implemented by their Human Resources and Compliance Departments. However, the problem can very well lie with third-party vendors. As...

Here is a helpful infographic detailing the 2014 OIG Exclusion Fines. Using charts and maps, the infographic is divided into sections by type, by month, and by state. A quick look reveals 15 types of health care faciliti...

When the Federal OIG threatens to enforce exclusion, they mean business.  Pronto. The Federal OIG's Ohio State Medicaid Fraud Control Unit: 2014 Onsite Review slaps the Ohio State Unit on the grounds that it 'did not c...

Can a healthcare organization be entirely excluded simply by having an excluded individual amongst their staff roster? We never would have thought so; but here comes another new wrinkle in the field of exclusion fines a...