<img height="1" width="1" style="display:none" src="https://www.facebook.com/tr?id=530420187131784&amp;ev=PageView&amp;noscript=1">

The ProviderTrust Blog

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

OIG, Fraud and Abuse, OIG Exclusion

Twice the Trouble: Healthcare Fraud Continued After Exclusion

Posted by Michael Rosen, ESQ on Tue, Oct 03, 2017

Double trouble. A dual affair. Twice the trouble that could have been avoided. You get the picture. Here is a case of twin brothers who banded together to commit massive healthcare fraud to fund their lavish lifestyle. Now they are in double trouble.

Read More

Healthcare Compliance, OIG, OIG Exclusion

Quick Guide to the OIG Self-Disclosure Protocol

Posted by Donna Thiel on Fri, Jun 30, 2017

You found an excluded employee in your organization, now what? Likely, your first thought is a bit of panic and a lot of questions. How long has this person worked for us? How did we miss this? What position did they hold? Did we receive federal funds for the job this person held? What do I do now? If there is any good news in this scenario, perhaps it is that the Office of Inspector General (OIG) has given providers direction on how to prepare for a self-disclosure to the OIG via the OIG’s Provider Self-Disclosure Protocol (SDP) document.

Read More

OIG, exclusion monitoring, OIG Exclusion

The Complexities of Exclusion Monitoring

Posted by Donna Thiel on Thu, Jun 22, 2017

Let’s take a stroll down memory lane. Do you remember when you were the new compliance officer in your organization? Maybe you were reviewing all of the compliance processes and trying to determine what was working well and where things might need a little improvement? At some point, if you’re like me, you began to review the exclusion monitoring process and quickly realized you need some help.

Read More

OIG Exclusion List, OIG, OIG Exclusion

The OIG Exclusion List Reinstatement Process

Posted by Michael Rosen, ESQ on Tue, Jun 20, 2017

Did you know that according to the OIG, when your exclusion is “over” not everyone is automatically “cleared” at the end of the exclusion period? Instead, the provider must apply through the OIG for reinstatement. Many times, this assumption can really hurt providers when they come to realize that they are still on the OIG exclusion list years later.

Read More

OIG Exclusion List, Fraud and Abuse, mfcu, OIG Exclusion

The Path of an OIG Exclusion

Posted by Michael Rosen, ESQ on Thu, Jun 15, 2017

Maybe the Wizard of Oz had good advice: follow the yellow brick road. It may have curves and present different paths, and you may meet some interesting people along the way, but in the end, it can take you to the big castle. In this case, the castle is the Office of Inspector General (OIG) for the Department of Health and Human Services (HHS) - the ultimate enforcer for healthcare fraud. The OIG has enforcement powers with the wave of its wand. Those powers include the statutory authority to impose civil fines and penalties (CMP) and exclusions against individuals and/or entities that stray from the yellow brick road.

Read More


Subscribe to the ProviderTrust Compliance Blog

Join fellow compliance and HR officers! Get the latest and greatest compliance and OIG enforcement articles straight to your inbox. Enter your email address below:

HCCA Compliance Institute registration

Get posts delivered right to your inbox!

Download CHIRP