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. In the 2014 OIG report on the...

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 the level of...

Anyone working in the field of healthcare human resources should understand the role of the Office of the Inspector General in both investigating fraud related to federal health care programs and penalizing health organizations that hire people placed on the...

It's generally a fairly simple concept that an entity that hires or contracts an excluded individuals is subject to monetary penalties. But what happens when those lines get a little fuzzier? A bulletin released by the OIG last month, presents...

Looks like the OIG means business. Over the course of the past 13 days, over $250,000 in fines have been meted out due to the alleged employment of excluded individuals.  The first involved a Minnesota pharmacist who owned and managed...

The OIG has wrapped up a successful year, recovering an expected $4.9 billion dollars for US taxpayers. Looking back over the year, we take note of the following points of interest: Over 4,000 individuals or entities were newly excluded in...

You've discovered an OIG exclusion blooper.  Now what? If you're like most administrators, you'd probably opt to fire the excluded employee, bury the evidence, and hope that the OIG never finds out about it.  After all, who in their right mind...

 With OIG fines topping $300K, perhaps it’s partial comfort to know that health care organizations are not the only ones getting nailed. In a recent disclosure, (https://go.usa.gov/X6d4), the State of Florida admitted to paying out $180,000 for pharmacy items prescribed...