The ProviderTrust Blog.
Simplifying healthcare compliance.

The New Sunshine Act Database And Why It Matters To You

Posted by Mike Rosen on Tue, Oct 14, 2014 @ 08:00 AM

The sun shined on September 30, 2014 no matter where you were!

That’s right; CMS has released the long awaited Sunshine Act database, reportable under the Physician Payment Sunshine Act, PPSA, publicly, for the first time at the end of September.  Undoubtedly, this is going to be a must read for some people, raise questions from physicians, and lead to questions about whether hospital conflict-of-interest policies are being met with complete self-disclosures by physicians.

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Topics: Affordable Care Act, Sunshine Act

OIG Enforcement: Major Fraud Concerning Miami and Detroit

Posted by Mike Rosen on Thu, Oct 09, 2014 @ 12:46 PM

A few months ago we blogged about a new OIG enforcement stick stemming from the authority given to them from the Affordable Care Act Section 6401.

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Topics: OIG, Affordable Care Act, healthcare fraud, oig investigations

A Bunch of Bad Apples Keep Home Health Agencies Away

Posted by Mike Rosen on Fri, Feb 07, 2014 @ 08:58 AM

It pays to play nice and when others don’t, CMS can put a big bite in the potential for new Medicare and Medicaid providers. If this is news to you, it is to most people. 

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Topics: Affordable Care Act, CMS

Top 3 Reasons to Self-Disclose to the OIG

Posted by Mike Rosen on Tue, Oct 01, 2013 @ 08:32 AM

You might hesitate to self-disclose fraud and exclusions to the OIG due to the time-investment and immediate fines; however, according to the OIG the process does not take as long as you might think. 

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Topics: oig exclusion list, LEIE, civil fines and penalties, oig exclusion, OIG, OIG Special Advisory Bulletin, Affordable Care Act, CMS, Fraud and abuse, self-disclose

Survey Says: Verifying Staff Credentials is Most Challenging

Posted by Mike Rosen on Mon, Apr 01, 2013 @ 04:32 PM

Recently, the Joint Commission released a chart of the most challenging requirements for health care organizations.  Interestingly, for Behavioral health care companies, HR 01.02.05 Standard proved to be one of the more challenging compliance standards to meet. See chart.

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Topics: oig exclusion list, GSA, monthly oig exclusion monitoring, Affordable Care Act, CMS, HR standard 01.02.05

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