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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, Healthcare Compliance, OIG, Healthcare Technology, Vendor Compliance, Data Management

Vendor Compliance Goes Beyond Employee Monitoring (Beyond Employee Monitoring eBook)

Posted by Michael Rosen, ESQ on Thu, Mar 02, 2017

Our latest eBook, Beyond Employee Monitoring: Vendors, Contractors and Third Parties, dives into the complexities of vendor monitoring. From digesting new regulations to discussing best practices, we hope this book helps you tackle your job with confidence. 

Download our free Beyond Employee Monitoring eBook here to kick start your vendor monitoring process.

Our eBook journey began with the release of The Ultimate Guide to Exclusion Monitoring. It covers everything you need to know about Office of Inspector General (OIG) exclusion monitoring and the OIG's regulations surrounding monthly monitoring and exclusion databases. We received an overwhelming amount of positive feedback for our exclusions eBook, so we decided to tackle the ins and outs of vendor monitoring as well. This 40+ page read covers the details and risks of not complying with OIG regulations as it pertains to vendor monitoring.

We're happy to announce an addition to our eBook collection! Our newest eBook, Beyond Employee Monitoring: Vendors, Contractors and Third Parties,  dives into the complexities of vendor monitoring. From digesting new regulations to discussing best practices, we hope this book helps you tackle your job with confidence. 

Download our free Beyond Employee Monitoring eBook here to kick start your vendor monitoring process.

Our eBook journey began with the release of The Ultimate Guide to Exclusion Monitoring. It covers everything you need to know about Office of Inspector General (OIG) exclusion monitoring and  regulations surrounding monthly monitoring and exclusion databases. We received an overwhelming amount of positive feedback for our exclusions eBook, so we decided to tackle the ins and outs of vendor monitoring as well. This 40+ page eBook covers the details and risks of not complying with OIG guidance and State and Federal regulations as it pertains to vendor monitoring.

Read More

OIG Exclusion List, OIG, Fraud and Abuse, Penalties and Fines, OIG Exclusion

NOTICE: New OIG Exclusion Authority for Fines and Penalties

Posted by Michael Rosen, ESQ on Tue, Jan 24, 2017

Hey, we don't want to exclude you from the news, so here is the skinny. The OIG has new and expanded exclusion authorities, and as we will outline below, the fines have increased, in some cases double since last year. The Final Rule effective date is February 13, 2017.

On December 6, 2016, the U.S. Dept. of Health and Human Services, Office of Inspector General (OIG) issued rules that incorporate new civil and monetary fines and penalties (CMP) authorities, clarify existing authorities, and reorganize regulations regarding CMP’s. The Final Rule also implements provisions of the Affordable Care Act (ACA) of 2010 that authorizes CMP’s for:
  1. Failure to grant the OIG timely access to records
  2. Ordering or prescribing while excluded
  3. Making false statements, omissions, or misrepresentations in an enrollment application
  4. Failure to report and return over payments, and
  5. Making or using a false record or statement that is material to a false of fraudulent claim
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OIG Exclusion List, OIG, exclusion list, exclusion, OIG Exclusion

Exclusion List Update! Hey Doc, Is That YOUR John Hancock?

Posted by Michael Rosen, ESQ on Thu, Jan 05, 2017

Exclusion Update!

12-09-2016
NY Physician Agrees to 5 Year Exclusion

On December 9, 2016, Dr. Michael Esposito agreed to be excluded from participation in all Federal health care programs for a period of five years under 42 U.S.C. § 1320a-7(b)(7). The OIG's investigation revealed that Dr. Esposito forged the signature of another physician on prescriptions for medications for himself and another person that were paid for by the Medicare program.

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OIG Exclusion List, OIG, exclusions, compliance, OIG Exclusion, compliance program

The Best of 2016: Resources Just in Time for the New Year!

Posted by Michael Rosen, ESQ on Thu, Dec 29, 2016

ProviderTrust 2016 Resources

It's been a wonderful, busy year! There were many changes that took place in healthcare and more specifically, compliance. As we faced those challenges, we partnered with many of you to walk through those changes and ultimately, learn how to serve your compliance programs even better. 

We understand that new regulations effect how you perform you're job and the quality to which you do that work. It is very difficult to study, learn, and implement the changes in a timely manner, especially when it takes additional work on top of what you already do in order to keep up. 

Who has time for that? Well, we do! In this blog, we've got our best resources from 2016 - all in one place!

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OIG Exclusion List, OIG, healthcare, compliance, exclusion monitoring, OIG Exclusion

Has Your Company Been Naughty or Nice? Check Your Exclusion List Twice!

Posted by Michael Rosen, ESQ on Thu, Dec 15, 2016

On the 12 Day of Healthcare . . .

Earlier this month your peers joined us for a popular workshop, "12 Days of Effective Compliance" covering key tactics to bring into the new year. We partnered with our newest hire, Chief Compliance Officer Donna Thiel, to come up with a simple, digestible end-of-the-year checklist for your compliance program. There was such a great response to the information, we decided to put together a quick summary for you to skim (and hopefully apply!). 

Hopefully it brings you good tidings of great joy!

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