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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

Industry News, Fraud and Abuse, department of justice

New DOJ Opioid Fraud and Abuse Detection Unit Created

Posted by Donna Thiel on Thu, Aug 17, 2017

Throughout the year, the Office of Inspector General (OIG), as well as the Department of Justice (DOJ) and President Trump, have made it clear that opioid abuse is a primary area of focus for government agencies. In a recent announcement, Attorney General Sessions showed that the government isn’t just talking- they are taking action. On August 2nd, Attorney General Sessions announced the formation of the Opioid Fraud and Abuse Detection Unit. This new unit of the DOJ will be a pilot program to utilize data to help combat the opioid crisis.

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Industry News, Healthcare Compliance, OIG

Lessons Learned from OIG Semiannual Report to Congress

Posted by Michael Rosen, ESQ on Tue, Aug 15, 2017

Each year, the Department of Health and Human Services and OIG is tasked with updating Congress on its performance, trends, and actions taken to combat healthcare fraud and abuse.  The mid-term report was issued for the period of October 2016 to March 2017 and describes OIG’s work on identifying significant problems, abuses, deficiencies, remedies, and investigative outcomes relating to the administration of HHS programs and operations that were disclosed during the reporting period.

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OIG, License Verification, Compliance Plan

You Can't Afford Not to Monitor Healthcare Licenses and Sanctions

Posted by Michael Rosen, ESQ on Thu, Aug 10, 2017

“An ounce of prevention is worth a pound of cure.” At least that is what Benjamin Franklin said a century ago. He is right, and that was insightful - even before his face would appear on U.S. currency. Little did he know how many “Benjamins” it would cost a healthcare company in fines for non-compliance with licenses.

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Industry News, OIG, Fraud and Abuse

OIG Focuses on Combatting Home Health Fraud and Neglect

Posted by Michael Rosen, ESQ on Tue, Aug 08, 2017

Ohio had their hands full in a federal case involving a former home healthcare nurse who committed heinous crimes and Medicaid fraud involving a severely physically disabled 14-year-old minor (cerebral palsy) in her care. As a result of her neglect and fraud, she also received a lifetime ban from working in any governmental entity in the healthcare field.

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CMS, Compliance Plan, SNF Requirements

CMS Delays SNF Penalties for Phase 2

Posted by Donna Thiel on Fri, Aug 04, 2017

On June 30, the Center for Clinical Standards and Quality/Survey & Certification Group issued a memorandum outlining revisions to the State Operations Manual (SOM) Appendix PP for Phase 2, F-Tag revisions, and several other related issues specific to the Requirements of Participation of nursing centers. The new CMS mandates include the minimum health and safety standards that skilled nursing facilities must meet to participate in Medicare and Medicaid.

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