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OIG’s Top Challenge Remains Medicaid Fraud – Harsher Action Is Evident

December 3, 2017

OIG Transparency In November, OIG released its 2017 report updating its top management challenges and strategic priorities. The first and second priorities continue to be Medicare and Medicaid program integrity. Though i...

Understanding Which Excluded Employees & Entities Are Problematic

September 19, 2017

When is an Excluded Individual or Entity Problematic? According to federal law, the OIG is legally permitted to enforce CMP (Civil Monetary Penalties) upon any individual or entity which breaches their regulations. Regu...

What to Do When You Find an Excluded Party in Your Employment

June 15, 2017

Discovering that you’re employing an excluded individual can happen even to the most meticulous in the healthcare industry. How you address this mistake is another thing altogether. Properly addressing the issue means ...

The OIG Exclusion List is Not Getting All State Exclusion Records

November 17, 2016

  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

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, ...

Arkansas Medicaid Exclusion

July 20, 2016

  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 Exclusion

July 5, 2016

Florida Healthcare Exclusion Under the State of Florida’s Agency for Health Care Administration (AHCA) is the Office of the Inspector General, spearheaded by Chief Kelly Bennett. As an integral part of the AHCA, the O...

Texas OIG and Medicaid Exclusions

June 6, 2016

Texas OIG and Medicaid Exclusions Under the guidance of Inspector General Stuart W. Bowen, Jr., Texas OIG functions within a singular mission: " To detect, prevent, and deter fraud, waste, and abuse through the audit, in...

NY Medicaid Exclusion

April 14, 2016

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...

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