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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

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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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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