The Ultimate Guide to Exclusions is a one-stop-shop for everything you need to know about OIG exclusions. This all inclusive guide covers the basics of exclusions, the background of the OIG, the fines and penalties surrounding an exclusion and explains the differences between the OIG exclusion databases. It also leaves you, the reader, with healthcare compliance industry best practices and additional resources!Read More
The proper way to screen a healthcare employee or third party vendor includes an initial OIG background check of the List of Excluded Individuals and Entities (LEIE). This should be done prior to the hiring of or commencement of billing for the services or items purchased from a third party vendor.
The question is how often should a healthcare organization check the exclusion list after hire or contracting with a third party.
Newly appointed Loretta Lynch came out of the box swinging. The HHS OIG and the US Attorney General announced a nationwide "sweep" led by the Medicare Fraud Strike Force in 17 districts. The charges were filed against 243 individuals, which included 48 doctors, nurses and other licensed medical professionals. The crackdown of health care fraud and abuse represents the largest coordinated take-down in healthcare history, both in terms of the number of defendants charged and loss amount.Read More
Yes, it's a new year. And yet, here we are again with a follow-up about the previously stated temporary moratoria on enrollment of new ambulance suppliers and home health agencies, which affects locations within the designated metropolitan areas (Florida, Illinois, Michigan, Texas, Pennsylvania and New Jersey).Read More
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.Read More