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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, Healthcare Compliance, Fraud and Abuse

Health Care Fraud a High Priority for the DOJ

Posted by Michael Rosen, ESQ on Tue, Jun 06, 2017

This year’s American Bar Association’s 27th Annual Institute on Health Care Fraud featured Acting Assistant Attorney General Kenneth Blanco, of the Criminal Division of the Department of Justice (DOJ). Mr. Blanco reiterated Attorney General Jeff Sessions’ commitment to ferreting and fighting fraud and abuse.

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OIG Exclusion List, Healthcare Compliance, OIG

The ABC's of OIG Exclusion Monitoring

Posted by Mike Rosen on Fri, Jun 02, 2017

* Updated from original post on 12/17/2015

Healthcare compliance is complicated and full of regulations, guidelines, and oversight. Since federal tax dollars are used to reimburse health care providers for services, the Department of Health and Human Services (HHS) as well as the Department of Justice (DOJ) have oversight on how those dollars are spent. The purpose of this blog post is to give a basic understanding of exclusions, industry best practices, and a brief description of the federal exclusion databases.

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Industry News, Healthcare Compliance, License Verification

Are Physician Licenses Going Interstate?

Posted by Michael Rosen, ESQ on Tue, May 16, 2017

Nursing Boards have been proactive in making it easier for nurses to have a license in one state that is accepted in another state. The Nurse Licensure Compact allows for Nurses to have one multistate license, with the ability to practice both in their home state and other compact states. To date, there are 25 states that have enacted legislation accepting the Compact effect in their state.  

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Healthcare Compliance, OIG, Compliance Plan, compliance officer

A Corporate Integrity Agreement is Coming, What Should I Do Now?

Posted by Donna Thiel on Thu, Apr 06, 2017

Plan

The first thing you should do is realize that the clock is already ticking and you need to start preparing. There are many phases to implementing a Corporate Integrity Agreement (CIA) but Phase I actually starts before the CIA is even signed.

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Healthcare Compliance, OIG, healthcare, HCCAci

HCCA 21st Annual Compliance Institute Debrief

Posted by Michael Rosen, ESQ on Thu, Mar 30, 2017

There is nothing like D.C. in the spring. The Healthcare Compliance Association (HCCA) held its annual Compliance Institute in DC for 2017 and almost 3,000 of the nation’s compliance officers/managers gathered at the Gaylord National Harbor for three days. As has been the case for years, the conference was spectacular.

It is refreshing to be around so many people who share the same goal - compliance and quality care.

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