Healthcare organizations are now able to screen against the state exclusion databases of both New Hampshire and Delaware. They are the latest addition to Streamline Verify’s database portfolio. This brings the total to...
OIG Updated Its Exclusion List Twice In One Month
August 24, 2018
This month a second update was made on the List of Excluded Individuals/Entities (LEIE). The Office of Inspector General (OIG) of the U.S. Department of Health & Human Services (HHS) confirmed this point. Note that w...
Points to Ponder on OIG’s Largest Medicare Fraud Takedown in History
July 19, 2018
Incarcerating almost 200 medical professionals in June 2018, the Office of Inspector General (OIG) launches its largest healthcare fraud takedown in history so far. This concerted effort by the federal government and all...
CMS’ Preclusion List Policy Explained
July 5, 2018
The Centers for Medicare & Medicaid Services (CMS)’ Preclusion List went live Jan. 1, 2019. the Preclusion List is defined as: “A list of providers and prescribers who are precluded from receiving payment for Med...
The NPI Registry: Using NPI Lookup to Resolve Potential Matches
February 27, 2018
The vast majority of health care providers are required to have a National Provider Identifier (NPI) – a unique identifying number. The NPI registry – also known as the NPI doctor lookup or NPI CMS lookup – has bec...
PHS Goes Dark As A Result of the Federal Shutdown
January 31, 2018
Among the many responsibilities of the Office of Research Integrity (ORI) is the oversight and maintenance of the PHS Administrative Action Bulletin Board. This board shows all individuals who are the subject of administ...
OIG Semiannual Report to Congress Includes Largest Health Care Fraud Case in History
December 10, 2017
The HHS Office of the Inspector General (OIG) had a busy and fruitful six months from April to September of 2017, according to the Fall 2017 OIG semiannual report to Congress. The Health and Human Services (HHS) watchdog...
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...
CMS Implements Emergency Waivers For Hurricane Harvey & Irma Stricken States
October 2, 2017
During the disaster, a state Medicaid program doesn’t have to screen and enroll a provider who is enrolled in Medicare or another state Medicaid program. The Centers for Medicare and Medicaid Services (CMS) is temporar...
