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...
On the Ohio State Medicaid Fraud
June 22, 2015
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 advantage of Federal health care programs?...
Whose Job is Exclusion Screening?
June 5, 2015
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 procedure that must be strictly implemented at all times....
An Aging Population Triggers Proliferating Oversight From The OIG
March 24, 2015
Elder care has been a concern for the nation over the past decade, and the need for qualified personnel and reputable facilities is continuing as a high demand. Â With this swelling demand, there is growing concern over the level of...
Can You Be Paid Post-Exclusion for Services Rendered Prior to Exclusion?
March 2, 2015
It's generally a fairly simple concept that an entity that hires or contracts an excluded individuals is subject to monetary penalties. But what happens when those lines get a little fuzzier? A bulletin released by the OIG last month, presents...
Is OIG Compliance Screening Getting Any Easier?
February 9, 2015
Compliance officers already know that remaining in compliance with OIG-related regulations is one of the most important parts of their job. However, that job has become even more critical as Health & Human Services is rolling out a full-scale crackdown...
How Mandatory Exclusions Differ from Permissive Exclusions
January 28, 2015
Do you know the differences between Mandatory and Permissive Exclusions? Mandatory Exclusions, as the name presumes, are compulsory for a five year minimum term, when an individual has committed any of the applicable criminal offenses (listed below). The OIG is...
OIG Increases Focus On Employee Screening
January 13, 2015
With the 2015 Work Plan in full gear, background screening is not getting any easier. In fact, the Office of Inspector General continues to increase focus on screening practices in the healthcare industry, which underscores how vitally important it is...
5 New Year’s Resolutions for the Compliance Officer
December 31, 2014
As 2015 begins, here are five things that you can do to tighten up compliance at your facility. 1) Check OIG exclusions monthly. Every month. Religiously. Because the LEIE is updated monthly...and because your facility can be held liable for...
