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...
OIG Exclusion Made EASY
The U.S. Department of Health and Human Services established The Office of Inspector General (OIG) to carry out these basic functions: The identification and elimination of fraud, waste, and abuse of the programs initia...
The Most Outrageous Frauds [Infographic]
The cases presented below prove that fraud hurts real people every single time it happens. Outstanding medical bills have become a chief reason for filing personal bankruptcy in the US. The health of patients con...
What happened to Small Smiles dentists?
The dentistry was rotten; the teeth were not. If there was ever a practice worthy of exclusion, Small Smiles Dentistry for Children was it. To quote just one of the many reports released about the now-infamous chain: ...
Excluded Ambulance Drivers: Whose Responsibility?
Four Jacksonville, FL hospitals have agreed to pay a combined $7.5 million settlement for crimes that they did not commit. Jacksonville Business Journal reports that the four -- Baptist Health, which runs four hospitals...
Can OIG Exclusion Wreck My Career Forever?
We picked this one up from allnurses.com, an open forum for nurses and nursing students. HELP! I just learned that I've been on the OIG Exclusion list since Jan 2003 following my RN license surrender / revocation for nar...
On the Ohio State Medicaid Fraud
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 a...
A Synopsis of 2014 Exclusion Fines
Here is a helpful infographic detailing the 2014 OIG Exclusion Fines. Using charts and maps, the infographic is divided into sections by type, by month, and by state. A quick look reveals 15 types of health care faciliti...
Can You Provide Incentives for Exclusive Lab Arrangements?
At the end of last month, the Office of the Inspector General of the United States Department of Health and Human Services, issued an advisory opinion for all healthcare compliance officers -- but really, anyone involved...