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2015: OIG Compliance Year in Review

January 6, 2016

How did healthcare compliance fare in 2015? Overall, it was quite a busy year for the OIG and various organizations, with noteworthy settlements and enforcement activities beginning as early as January. The OIG excluded ...

Driving Healthcare Costs Down, By Bringing OIG Compliance Up

January 4, 2016

  Why does medical care cost so much, anyway? Dumb question.  It doesn’t take a rocket scientist to understand that healthcare costs.  Treatments cost, prescriptions cost, equipment costs.  Everybody knows th...

The True Costs of Transitioning to ICD-10 {Infographic}

December 14, 2015

The True Costs of Transitioning to ICD-10 When it comes to streamlining, medicine often gets a bad rap. There’s lots of paperwork, referrals, appointments, and questionnaires to fill out—and that’s often before pat...

In the Mind of the OIG

October 21, 2015

Robert DeConti, assistant inspector general for legal affairs at OIG, and Lisa Re, chief of the OIG Administrative and Civil Remedies Branch, explain why some get excluded...and others don't. OIG enforcement actions are ...

The Most Outrageous Frauds [Infographic]

October 15, 2015

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 continue to...

Top 10 Reasons NOT to Invest in Exclusion Screening Software

October 12, 2015

Why Not to Invest in Exclusion Screening Software Plenty of healthcare organizations don't use exclusion screening software. Wondering why not?  Here's what they'll tell you! It's no big deal to do exclusion ch...

The Great Exclusion Snowball

September 21, 2015

Global warming and the Artic freeze are not our forte, but we've granted ourselves the liberty of forecasting what our 'weathermen' see coming up on the horizon: The Great Exclusion Snowball. Over two months ago, we ...

What happened to Small Smiles dentists?

September 17, 2015

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?

September 7, 2015

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...

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