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
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
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...
Driving Healthcare Costs Down, By Bringing OIG Compliance Up
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 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...
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...
Beware the Housekeeper
The OIG has been known to go after all types of healthcare professionals, but... the housekeeper? Yes, indeed. Itasca County, Minnesota, and its nursing home, the Itasca Nursing Home d/b/a Grand Village (Itasca), a cou...
Healthcare Fraud: Be Afraid. Be Very Afraid
The healthcare industry needs a reliable compliance system more than ever. Healthcare Fraud is rearing its ugly head hundreds of times more than any other criminal conviction...
An Aging Population Triggers Proliferating Oversight From The OIG
Elder care has been a concern for the nation over the past decade, and the need for qualified personnel and reputable facilities is continuing as a high demand. With this swelling demand, there is growing concern over ...