Every year, hundreds of health care providers and entities receive notification from the HHS OIG that they are being considered for exclusion from participation in federal programs. To date in 2021, 684 individuals and e...
UPDATED: The New Relevance of the Death Master File
The first COVID-related federal stimulus payments were sent in the spring of 2020. Unfortunately, payments were sent to millions of taxpayers who were deceased at the time of payment. Not only did this draw attention ...
Licensure Verification
Introduction For most health care organizations, their primary purpose is to provide high quality patient care to support the best outcomes possible. The qualifications and expertise of an organization’s medic...
MANAGING THROUGH AN EXCLUSION BY THE OIG
AN OVERVIEW of THE OIG’S LIST OF EXCLUDED INDIVIDUALS AND ENTITIES Since 1977, the federal government has maintained a list of individuals and entities that are excluded from participation in any federal health care...
THE IMPORTANCE OF SANCTION SCREENING TO YOUR ORGANIZATION
What Is A Sanction Check Sanctions against medical personnel can create significant risk to a healthcare organization from financial, compliance and patient safety perspectives. Therefore, it is critical that organi...
NPI Numbers Enhancing the Exclusion Screening Process
Last month, the OIG released audit report findings regarding whether Medicare Part C health plans (also known as Medicare Advantage Organizations or MAOs) are fully utilizing National Provider Identifier numbers (N...
Fraud in the time of the Coronavirus Pandemic
Along with significant scientific and medical challenges, COVID-19 has also revealed significant fraud-related challenges. Some are novel and some are variations on age old schemes. This article addresses Coronavirus fra...
Understanding OFAC and the 50% Rule
What is OFAC? The U.S. Office of Foreign Asset Control (OFAC) is the department of the U.S. Treasury that is responsible for facilitating compliance with the U.S. foreign policy and national security agendas. OFAC&nbs...
Conducting Investigations and Responding to Government Inquiries: Considerations in the Age of Remote Workforces
Streamline Verify is proud to have had the privilege of working with the Journal of Regulatory Compliance at Loyola University Chicago School of Law to help galvanize research and resources for the publication of their u...