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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, Medicaid, Medicare, Fraud and Abuse, Penalties and Fines

Healthcare Fraud and Abuse Investigation Examples - Fiscal Year 2015

Posted by Mike Rosen on Thu, Apr 02, 2015

The following examples of healthcare fraud and abuse are public record cases that were prosecuted in the 2015 fiscal year. 

The cases range from the Medicare fraud to unimaginable bribery schemes involving innocent patients.

Take a look at these REAL cases that ACTUALLY happened. This is no Law and Order drama, this is real life. 

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

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

Posted by Mike Rosen on Tue, Nov 04, 2014

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

13 Bizarre Ways The Govt Uses Tax Money

Posted by Jennifer Baiada on Fri, Jun 27, 2014

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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OIG Exclusion List, Medicare, Fraud and Abuse

2 Things You Must Know in 2014 About OIG Exclusions

Posted by Chris Redhage on Thu, Mar 13, 2014

Last week during an onsite meeting, a prospect was shocked to learn that their in-house OIG exclusion monitoring did not comply with the new federal recommendations.

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OIG Exclusion List, Medicare, Fraud and Abuse

ALERT: State Fraud Totals 25% of OIG Exclusions

Posted by Mike Rosen on Tue, Mar 11, 2014

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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