Blog

Exclusion Screening VS. Fragmented Databases

May 30, 2016

Is Exclusion Screening even possible? The U.S. Government Accountability Office has recently released the results of a study conducted in order to gauge the reliability, uniformity, and exhaustibility of exclusion databa...

Daniel Levinson’s Parthenon of Compliance

May 18, 2016

The Parthenon of Healthcare Compliance   https://youtu.be/5TQg1A3ovRA   At the 2016 HCCA Compliance Institute, an annual conference for compliance stakeholders, Inspector General of the U.S. Department of H...

FDNY Medicare Fraud

May 10, 2016

  The Frightening Reaches of Healthcare Fraud The U.S. public healthcare system loses approximately $60 billion annually to medical fraud. This disconcerting figure, which could have gone to better use and could h...

Permissive Exclusions Updates from the OIG to 1128(b)(7)

May 2, 2016

Recently on April 18, 2016, the Inspector General of the famed OIG issued a review and updates on their exclusion policies and how they go about permissive exclusions. The OIG was established back in 1976 in order to p...

Basic Guide to OIG Reinstatement

April 8, 2016

A Quick Guide to OIG Reinstatement Excluded healthcare professionals are banned from participating in any US healthcare program, including Medicare and Medicaid. Exclusion means individuals and entities are not allowed,...

Five Exclusion Stats Every Healthcare Provider Needs To Know

March 23, 2016

Exclusion Stats   Here’s a collection of five interesting stats related to the List of Excluded Individuals and Entities (LEIE). If healthcare compliance is something that affects your business, then these exclu...

How to Do Pre-employment Screening the Right Way

February 24, 2016

OIG Background Check Basics: Not every medical practice is large enough to employ a full-time compliance officer, but every medical facility is large enough to get slammed by the OIG for messing up on some part of the sc...

A Taste of Their Own Medicine – Pharmacists Defrauding the Healthcare System…and getting caught

February 4, 2016

Medicaid and Medicare frauds run to the tune of billions of dollars each year. Running a check on OIG exclusions is one way to catch this fraud, and also protect one’s healthcare system from doing business with blackl...

The Baby-Boomer Effect: How Healthcare Fraud is Turning Grey

January 18, 2016

  The National Healthcare Anti-Fraud Association approximates 3 to 10 percent of annual healthcare expenditures account to fraudulent claims. This means that in the $600 billion spent for Medicare back in 2012, $60...

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Understanding OIG Exclusions

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