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The ProviderTrust Blog

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

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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OIG, CMS, Long Term Care

Why is Long Term Care the Focus of the OIG and CMS?

Posted by Michael Rosen, ESQ on Tue, Jan 10, 2017

There are several reasons why the long-term care industry (LTC) is, has and will continue to be a key focus of health care enforcement and regulatory affairs. You are probably thinking that the primary reason is because it deals with the elderly and vulnerable, and that is one part.

But, when you take a look at the myriad of fraud and abuse cases that have taken place and continue to be investigated and prosecuted, coupled with how the bad actors slip under the radar with tact, you quickly see that the LTC business is very lucrative and full of opportunities to cheat the system.

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OIG Exclusion List, Healthcare Compliance, OIG, CMS, Compliance Plan, internal audit, OIG Exclusion, Compliance Audit, compliance auditor

Seven Mistakes to Avoid when Performing a Compliance Audit

Posted by Michael Rosen, ESQ on Tue, Dec 06, 2016

For our last blog in our audit series, we are sharing insights on effective internal compliance auditing.

New to the scene? Check out our audit series:
Hi, I am an Auditor and I am Here to Help
How to Conduct an Effective Health Care Audit
Be Audit Ready - All the Time
You've Finished Your Internal Audit. Now What?

Let’s face it - healthcare auditors have a tough job today. In order to be effective and relevant it requires careful analysis and investigative skills, while at the same time garnering support and respect from departments and people who may see you as the “Corporate Cop.” The pressure is high. There is a lot of importance placed on auditors to ask the right questions and dig in the right places to have a solid, accurate review.

On top of this, senior management and Board of Directors rely heavily upon a compliance auditor’s results to determine where there are weaknesses, areas for improvements, and/or violations of regulations that may require self-disclosure.

Here are seven mistakes others made to gain insight on what Federal regulators (HHS OIG) deem important or  compliance audit.

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OIG Exclusion List, Healthcare Compliance, OIG, CMS, Self Disclosure, Sanction Screening, License Verification

More Scrutiny to Sell Weed in Colorado than to Get a Medical License

Posted by Michael Rosen, ESQ on Tue, Jul 12, 2016

Colarado high takes on a new meaning. When you compare the requirements to become a licensed medical marijuana dealer in Colorado to that of the scrutiny conducted by the Colorado Board of Nursing, you would be surprised which is harder to get. The Colorado Dept. of Revenue, Enforcement Division, will actually conduct a background check on an applicant for medical marijuana dealer, and the Colorado Nursing Board will not.

According to a recent article in the Denver Post, it is one of six states that do not require a background check in order to get a nurse license.  

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OIG Exclusion List, Healthcare Compliance, OIG, CMS, Healthcare Technology, Long Term Care

Great, You Have a Compliance Plan - Now What?

Posted by Michael Rosen, ESQ on Tue, Jun 21, 2016

It's almost time for our Great you have a Compliance Plan - Now What? free healthcare webinar! In this healthcare webinar, we will guide through the process of discovering and unleashing the value of compliance plans in healthcare organizations. Ensuring your plan is transparent for the entire organization to understand helps the compliance process run smoother in your organization. Join us Thursday, June 23 at 12:00 pm CST for OIG compliance program guidance.

In short, compliance programs are a powerful tool allowing healthcare organizations to make deliberate decisions in getting ahead of compliance regulations.

Join the compliance conversation today!
Reserve your seat now.

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