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The ProviderTrust Blog

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

Healthcare Compliance, OIG, Compliance Data, healthcare, compliance, exclusion data

If you haven't heard yet! On Demand Exclusion Data Workshop Available

Posted by Michael Rosen, ESQ on Tue, Nov 08, 2016

Exclusion Workshop

If you haven't heard yet about our monthly webinars. No worries! For all who attended last month's Exclusion Data Deep Dive Workshop, it was a pleasure meeting each one of you. If you didn't get a chance to join us, you were certainly missed! We also want to take a special moment and share the actual webinar with you. And the best part is - it's free! And there were some interesting exclusion finds from this quarter's special report, CHIRP, too. We have a special on demand version of our October workshop available for you today.

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OIG Exclusion List, OIG, Compliance Data, compliance

Exclusion Data Deep Dive Workshop

Posted by Michael Rosen, ESQ on Thu, Nov 03, 2016

Today is the day! Join us at 12:00 PM CST for our webinar titled, "Exclusion Data Deep Dive Workshop" In this workshop, we will discuss the time delay in states reporting  to the OIG and the missing exclusions on the OIG list. 


You may know that states are not good at reporting exclusions to the OIG, but you may not know just how bad they are at reporting. 


Join the compliance conversation today!
Reserve your seat now.

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Compliance Data

CHIRP:  Q-3 Review and Lessons learned

Posted by Michael Rosen, ESQ on Tue, Nov 01, 2016

CHIRP:  Q-3 Review and Lessons learned


According to the recent CHIRP report

The third quarter results of CHIRP found some interesting trends in healthcare compliance data. The OIG continues to impose civil fines and penalties for hiring or contracting with an excluded individual or entity. In fact, in the third quarter the fines amounted to almost $2.25 million and were imposed against 23 individuals in 12 different states.  

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OIG, Compliance Data, mfcu

The State of MFCU Reporting to the OIG: 2015 in Review

Posted by Mike Rosen on Tue, Sep 27, 2016

Auditing

The OIG is tasked with auditing the performance of state Medicaid Fraud Control Units (MFCU).  The mission of Medicaid Fraud Control Units (MFCUs or Units) is to investigate and prosecute Medicaid provider fraud and patient abuse or neglect under state law. 

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Healthcare Technology, Fraud and Abuse, Data Management, Compliance Data

Healthcare security - a top target for cyberattacks

Posted by David Share on Thu, Sep 01, 2016

Lack of Cybersecurity

Due to the success of previous attacks and the relative lack of sufficient cybersecurity, healthcare is now the most attacked industry by hackers, fraudsters, phishers and ransomware attackers.  The problem is the healthcare industry is highly focused at what it does best, providing the best quality healthcare possible. Many of its C-level executives lean towards the healthcare side as well, however only a handful of personnel are tasked with securing the data of the entire company and its patients. Put simply, healthcare data security is not the wheelhouse of the industry. And it shows.

 

"The industry that is supposed to offer everyone reprieve and look after their well being is under attack from cybercriminals."

 

IBM, one of the technology industry's most trusted and longest running companies, has recently released a report which claims that over 100 million healthcare records were breached in 2015. These records were harvested from 8,000 devices located in more than 100 countries. In the USA, and other countries which have implemented and enforced a health data security policy, such breaches can have hefty financial repercussions. Breaches of America‚Äôs HIPAA and HITECH acts carry a minimum of $500 per piece of data that was plucked by the fraudsters. Each of the 100 million plus healthcare records can contain numerous pieces of data, which when extrapolated represents billions of dollars in fines.

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