The exact steps for a provider or medical director of a hospice to enroll or opt-out of Medicare may vary, but generally, the process involves the following steps: Determine eligibility: Ensure that the provider or m...
The High Cost of Inaccurate Provider Enrollment for Nursing Homes
As providers of Medicare services, nursing homes rely heavily on the timely and accurate reimbursement from the government to ensure the provision of top-quality care to their residents. The negative financial implicatio...
Nursing Licensure Verification & Credentialing
It goes without saying that nursing licensure verification is a benefit to all stakeholders in our healthcare ecosystem. Our licensing system allows patients to be satisfied that nursing professionals have the skil...
The Often-Unknown Impact of OIG Exclusions
Search the internet on OIG enforcement and you will eventually find articles about nurses, physicians, pharmacists and other licensed medical personnel and their travails related to OIG exclusion. A common theme running ...
2021 Audit Alert: Background Checks for Nursing Home Employees
In January of 2021 Centers for Medicare and Medicaid Services (CMS) announced that they would be auditing compliance with the National Background Check Program for Long-Term Care Providers. The National Background Check ...
Nursing Board License Actions – OIG & Medi-Cal Exclusions
Nurses and other health care providers must meet certain ethical standards in order to maintain their licenses. For example, in California, Welfare and Institutions Code §14043.6 and 14123, mandate that the Department o...
Jimmy Kimmel Monologue Inspires National Nurses Week
Late night television host Jimmy Kimmel tearfully told the story of his newborn son’s recent birth and open-heart surgery due to a heart defect. In his monologue, Kimmel explained that it was an attentive nurse that fi...
How Nurse Fraud & Their Exclusions are Taking a Serious Toll on the Healthcare System
Nurses Most Excluded Position Type Every Year When reviewing the numbers of LEIE exclusions, it is alarming to see the dramatic difference between nursing and other medical fields: Nurses are excluded from participatin...