In late March, OIG Inspector General Levinson informed Compliance Officers at the annual HCCA Compliance Institute Conference in San Diego that his office was very close to releasing significant changes to both their Exclusion Authority as well as the Imposition of Civil Fines and Monetary Penalties. In early May, the OIG released its two proposed rules to do just as promised.
Recently, in an article posted by the Office of Inspector General (OIG), scenarios are presented that illustrate a lack of quality-of-care for patients in senior nursing facilities. The article more specifically addresses how skilled nursing facilities, nursing homes that provide 24-hour assistance with day-to-day activities and rehabilitation services for patients, may not be the proper outlet for Medicare to be investing 32 billion dollars--as they did in 2012.
Last week during an onsite meeting, a prospect was shocked to learn that their in-house exclusion monitoring did not comply with the new federal recommendations.
The OIG excluded 3,214 individuals and entities from participation in Federal Health Care programs. But how, why and where did they come from?
The Justice Department collected $8 Billion record fines and penalties in 2013. These fines were for civil and criminal cases ending in fiscal year 2013 (Sept. 30, 2013).