What is an NPI Number? Provider Identifiers (NPIs) were created to ensure for accuracy and efficiency in the health care system when it comes to transmitting information that references healthcare providers electronically, with an aim to help reduce fraud and abuse. That is, with so many possible variables, a system of unique numerical identification for each provider was a clear way to streamline operations....
The OIG Exclusion List is Not Getting All State Exclusion Records

 Incompleteness of information on the OIG Exclusion List (LEIE) can occur for many reasons, and some are as simple as typographical errors. One of the more serious issues is the failure of many State Medica...
How does OIG Exclusion Work? Your Questions Answered

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, ...
Arkansas Medicaid Exclusion

All you need to know about Arkansas Medicaid Exclusions The Arkansas Medicaid Inspector General (OMIG) was established on April 23, 2013, in pursuant to the Arkansas Act 1499, whose purpose include: ...
Florida OIG Exclusions Basics

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Exclusion Screening VS. Fragmented Databases

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 databa...
NY Medicaid Exclusion

New York State Medicaid Exclusion New York’s Office of the Medicaid Inspector General exists to “to enhance the integrity of the New York State Medicaid program by preventing and detecting fraudulent, abusive, and wa...
How to Do Pre-employment Screening the Right Way

OIG Background Check Basics: Not every medical practice is large enough to employ a full-time compliance officer, but every medical facility is large enough to get slammed by the OIG for messing up on some part of the sc...
Ohio Medicaid Provider Exclusion and Suspension List

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. McCart...