The ProviderTrust Blog.
Simplifying healthcare compliance.

How the OIG Deals with Medicare and Medicaid Fraud and Abuse?

Posted by Mike Rosen on Tue, Nov 04, 2014 @ 08:00 AM

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.

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Topics: OIG, Medicaid, Medicare, Fraud and Abuse, Self Disclosure

13 Bizarre Ways The Govt Uses Tax Money

Posted by Jennifer Baiada on Fri, Jun 27, 2014 @ 03:55 PM

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.   

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Topics: OIG Exclusion List, Industry News, OIG, Medicaid, Medicare, Long Term Care

2 Things You Must Know in 2014 About Exclusions

Posted by Chris Redhage on Thu, Mar 13, 2014 @ 01:50 PM

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.

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Topics: OIG Exclusion List, Medicare, Fraud and Abuse

ALERT: State Fraud Totals 25% of OIG Exclusions

Posted by Mike Rosen on Tue, Mar 11, 2014 @ 09:34 AM

The OIG excluded 3,214 individuals and entities from participation in Federal Health Care programs. But how, why and where did they come from? 

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Topics: OIG Exclusion List, Medicare, Fraud and Abuse

Strike 3: DOJ/OIG Collects Billions and Excludes Thousands

Posted by Mike Rosen on Mon, Feb 17, 2014 @ 09:31 AM

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).  

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Topics: OIG Exclusion List, Medicare, Fraud and Abuse

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