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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, Affordable Care Act, CMS, Medicaid, Medicare, Fraud and Abuse, Penalties and Fines

New U.S. Attorney General Not Afraid to Take Down Healthcare Fraud-sters

Posted by Mike Rosen on Tue, Jun 30, 2015

Newly appointed Loretta Lynch came out of the box swinging. The HHS OIG and the US Attorney General announced a nationwide "sweep" led by the Medicare Fraud Strike Force in 17 districts. The charges were filed against 243 individuals, which included 48 doctors, nurses and other licensed medical professionals. The crackdown of health care fraud and abuse represents the largest coordinated take-down in healthcare history, both in terms of the number of defendants charged and loss amount. 

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Medicaid, Medicare

How Well Are The Medicaid Fraud Control Units Doing?

Posted by Mike Rosen on Tue, Jun 02, 2015

The OIG released its Annual Report on Medicaid Fraud Control Units for 2014. This report highlights statistical achievements from the investigations and prosecutions conducted by 50 MCFU's in the U.S. The report found that enforcement, civil and criminal, were up, but there were gaps in reporting some records to the OIG.

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OIG Exclusion List, Industry News, Healthcare Compliance, OIG, Medicaid, Medicare, Fraud and Abuse, Penalties and Fines

Healthcare Fraud and Abuse Allegations Result in a $20 Million Fine

Posted by Mike Rosen on Thu, May 14, 2015

Recently, the 2nd largest hospital in Georgia, The Medical Center of Central Georgia (MCCG), has agreed to pay $20 million as well as enter into a corporate integrity agreement with U.S. Department of Health and Human Services to settle the allegations of violation under the False Claims Act.
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OIG Exclusion List, Healthcare Compliance, OIG, CMS, Medicaid, Medicare, Fraud and Abuse, Penalties and Fines, Vendor Compliance

The Importance of OIG Exclusion Screening

Posted by Mike Rosen on Tue, May 05, 2015

Are you a healthcare organization at the larger end of the scale and have already acquired another healthcare facility or vendor?

If you said yes to that question there are a few things to keep in mind:

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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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