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 it is not adding new Medicaid fraud prevention activities,...
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. Regulations governing the practice and employment of excluded...
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 understanding what Self-Disclosure entails. The Self-Disclosure Protocol (SDP)...
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 Medicaid offices to report required...
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...
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: The creation of a new state agency that...
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, investigation, and inspection of federal...
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 wasteful practices within the Medicaid program and...
