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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.

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

Vendor Compliance Goes Beyond Employee Monitoring

Posted by Michael Rosen, ESQ on Thu, Mar 17, 2016

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 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.

Read More

Vendor Compliance, Data Management

2. What Can We Learn from Healthcare Compliance Data?

Posted by Russ Cornwall on Tue, Mar 15, 2016

In healthcare, like many large industries, we have access to a mind-boggling amount of data. Data tells us how much money we spend with each vendor, the level of satisfaction of our customers, and how much inventory is on hand.

“You can have data without information, but you cannot have information without data,” said Daniel Keys Moran (DKM), an American computer programmer and science fiction writer.

To take his quote a step further, you must also have information to gain knowledge, and we know that Sir Francis Bacon taught us that, “Knowledge is power.”

In short, taking data, organizing and analyzing it, then using it to tell a story is a powerful tool allowing organizations to make deliberate decisions that effect the organization and ultimately its customers.

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OIG Exclusion List, Healthcare Compliance, OIG, CMS, Fraud and Abuse, Penalties and Fines, Vendor Compliance

Bill me now, pay the OIG later - individual & vendor monitoring

Posted by Michael Rosen, ESQ on Thu, Mar 10, 2016

We get asked this question a lot:  "We only have to monitor licensed providers that provide direct care to patients, right?"  The answer is simple – any excluded person, entity or third party can result in civil monetary penalties from the OIG.

Take for example this case from an OIG enforcement of civil monetary fines involving a medical biller. 

01-07-2016: 
Illinois Cardiology Practices Settle Case Involving Excluded Individual

On January 7, 2016, Cardio Specialists Group, Ltd. (CSG), Illinois, entered into a $274,721.40 settlement agreement with OIG. The settlement agreement resolves allegations that CSG employed an individual who was excluded from participating in any Federal health care program.

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Fraud and Abuse, Vendor Compliance

The Cure to Vendor Procurement Fraud

Posted by Michael Rosen, ESQ on Thu, Feb 25, 2016

Procurement has a tough job. First, there are thousands of vendors and third parties that must be selected, vetted and then tracked each month. To complicate matters, most vendor procurement software services that exist were developed decades ago and have not kept up with the needs of today’s procurement departments for reporting, tracking and innovation. 

At ProviderTrust, we see this all the time. When conducting exclusion monitoring on individuals, the records are easily obtainable and identifiable in one or a few HRIS data systems. It is not complicated to pull, update and send an employee file for exclusion monitoring for human resource departments in today's healthcare environment; however, it is a totally different story when it comes to entity and third party data. Thus, it is not a surprise that there is procurement fraud in healthcare because of the world procurement and vendor risk management lives in.

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