A New Era of Enhanced Safety and Accountability Effective January 1st, 2024, Washington's in-home care landscape will undergo a transformative shift towards enhanced safety and accountability. The implementation of stringent federal risk-based screening for all caregivers serving Medicaid clients signifies...
Screening Volunteers Against Exclusion Lists – Things to Consider
June 30, 2022
Background In 2013, the OIG issued an updated revised bulletin regarding the effect of exclusion from participation in federal programs. As part of that bulletin, the OIG addressed a number of somewhat gray areas including whether volunteers should be screened...
2021 Audit Alert: Background Checks for Nursing Home Employees
February 22, 2021
In January of 2021 Centers for Medicare and Medicaid Services (CMS) announced that they would be auditing compliance with the National Background Check Program for Long-Term Care Providers. The National Background Check Program was enacted by legislation in 2010 to...
How does OIG Exclusion Work? Your Questions Answered
November 4, 2016
Solution Concept Human Resource on Blackboard The Office of the Inspector General (OIG) maintains a list of those individuals and identities who are prohibited by federal law from participating in Medicare, Medicaid, and all other federal healthcare programs. How does...
Exclusion Screening VS. Fragmented Databases
May 30, 2016
Is Exclusion Screening even possible? The U.S. Government Accountability Office has recently released the results of a study conducted in order to gauge the reliability, uniformity, and exhaustibility of exclusion databases available to healthcare providers. Considering that Medicaid remains highly...
Ohio Medicaid Provider Exclusion and Suspension List
February 18, 2016
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. McCarthy and in partnership with...
2015: OIG Compliance Year in Review
January 6, 2016
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 4,112 individuals and entities from participation...
Driving Healthcare Costs Down, By Bringing OIG Compliance Up
January 4, 2016
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 that. Not everybody knows that bloopers cost.  Big time. The...
Employee Screening: Endless, thankless…hopeless?
July 27, 2015
Streamline Verify recently posted a guest blog on E-Visit on the topic of pre-screening employees, and we ran into a simple but major question while compiling the post. Which employee screenings SHOULD be on every facility’s list of essentials, and which can...
