Arizona Exclusion The Arizona Health Care Cost Containment System (AHCCCS) Office of Inspector General takes on the task of safeguarding the state’s Medicaid Program which amounts to $9 billion. Its mission is “to up...
A Much Easier Way to Screen Health Providers in Florida
August 10, 2016
It should come as no surprise that a Health Compliance and Ethics officer is one of the more stressful positions in the modern day business world. The job comes with a tremendous responsibility and a negligent move on th...
Self Disclosure – The Kroger Story
August 8, 2016
Kroger Asked to Shell Out $21,523,047 for allegedly violating the Civil Monetary Penalties Law In December last year, retail food chain Kroger, headquartered in Cincinnati, Ohio, agreed to pay a whopping $21,523...
Why Do Some Nurses Commit Fraud?
June 28, 2016
Nurse Fraud Nurses have become heavily involved in a spate of health-care related fraud news in recent years. One of the most controversial reports of fraud from the Department of Justice was in 2011, which involved ei...
Compliance Officers and the HR Department
June 14, 2016
The Differences between Compliance Officers and the HR Department The HR department of any organization has a crucial role to play in ensuring compliance, and company compliance officers have the important res...
Texas OIG and Medicaid Exclusions
June 6, 2016
Texas OIG and Medicaid Exclusions Under the guidance of Inspector General Stuart W. Bowen, Jr., Texas OIG functions within a singular mission: " To detect, prevent, and deter fraud, waste, and abuse through the audit, in...
Exclusion Screening VS. Fragmented Databases
May 30, 2016
Is Exclusion Screening even possible? The U.S. Government Accountability Office has recently released the results of a study conducted in order to gauge the reliability, uniformity, and exhaustibility of exclusion databa...
Nurse Turnover Rate – Infographic
March 16, 2016
Nurse Turnover Rate Infographic Healthcare is among the top three industries that suffer from high turnover rates. At 13.5%, Healthcare’s turnover rate is just a few points behind Banking (13.3%), and Hospitality (20....
NJ Medicaid Exclusions
March 15, 2016
Medicaid Exclusion for NJ New Jersey Medicaid Fraud Division On June 29, 2010, the duties and functions of the Office of the Medical Inspector General were transferred to the Office of the State Comptroller through the ...
