COVID 19 has resulted in a flurry of waivers by federal and state regulatory agencies related to the provision of health care for Medicare and Medicaid patients. The CMS blanket waivers (issued as “1135 waivers” unde...
Exclusion Screening & the Affordable Care Act
If the Affordable Care Act (ACA) is repealed – the potential effect on program integrity protections remains unclear. Over the last few years, the effect of an ACA repeal on health care and health plan coverage has ...
Two OIG Reports Encourage More Vigilance about Providers’ Medicaid Eligibility
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New Hampshire and Delaware Exclusion State Databases Now Added to Streamline Verify’s Portfolio
Healthcare organizations are now able to screen against the state exclusion databases of both New Hampshire and Delaware. They are the latest addition to Streamline Verify’s database portfolio. This brings the total to...
A Quick Guide to OIG Compliance through Exclusion Screening Checks
OIG compliance procedures through regular LEIE checks can verify if you are employing individuals or contracting with entities who are listed on the OIG sanction list. The Office of the Inspector General (OIG) maintains ...
What is a DEA Number, Who Needs to screen it & How Does it Work?
Screening employees and potential hires is an important step in maintaining quality service and protecting oneself against federal law infringement. One of the areas that hospitals, credentialing offices, and medical fac...
OIG Regulation Excludes Student Loan Defaulters from Federal Health Programs
Mini graduation cap on US money -- education costs in the design of information related to the cost of education Healthcare providers who did not fulfill their obligations under a student loan, scholarship or loan rep...
Infographic: Breaking Down the Exclusion Numbers
Click Infographic To Enlarge Here are some interesting takeaways to note: Nurses are still the most excluded among healthcare professionals -- higher than any other group including personal care providers and...
The NPI Registry and Why It Matters
Technological Numbers What is an NPI Number? National Provider Identifiers (NPIs) were created to ensure for accuracy and efficiency in the health care system when it comes to transmitting information that references h...