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...
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 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...
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...
Beware the Housekeeper
September 2, 2015
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
August 17, 2015
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...
