Blog

OFAC AND ITS IMPACT ON THE TALIBAN

September 13, 2021

With recent events in Afghanistan, the role of the Treasury Department’s Office of Foreign Assets Control (OFAC) in controlling the release of funds held in US financial institutions by foreign countries or terrorist o...

The Impact of FCRA and FACTA on Exclusion Screening

August 30, 2021

Background The Fair Credit Reporting Act (FCRA) was signed into law by President Nixon in 1970 and took effect April 25, 1971. The original purpose of the FCRA was to give consumers certain rights and protections rela...

Improved LEIE Data Access Noted as an OIG Compliance Priority

August 23, 2021

As the keynote speaker at the Health Care Compliance Association (HCCA) Compliance Institute on April 21, 2021 the HHS OIG Deputy Inspector Christi Grimm reviewed the OIG’s top 10 compliance priorities for 2021 and bey...

ALERT: Data Discrepancies in GSA’s SAM.gov?

August 16, 2021

The regular screening of federal lists for individuals who are ineligible to participate in federal contracts is required of all federal healthcare contractors. The OIG and SAM lists, as they are commonly called, are the...

WHAT EVERY HEALTHCARE EMPLOYER NEEDS TO KNOW ABOUT THE OIG EXCLUSION LIST

August 9, 2021

The Basics - Failure to Monitor Federal Exclusion Lists Can Hit Your Bottom Line Health care providers which serve Medicare and Medicaid enrollees have a duty to know if their employees, contractors or potential hir...

LEIE’s Weakest Link: State Data

August 2, 2021

Federal exclusion requirements have been in place for years. However, in the last decade there have been significant legislative efforts to strengthen and extend Medicaid program integrity controls to protect beneficiari...

Utah MFCU Performance Overview

July 26, 2021

Background The function of Medicaid Fraud Control Units (MFCUs/Units) is to investigate and prosecute Medicaid provider fraud and patient abuse/neglect. The Social Security Act requires each state to operate a MFCU. M...

Fraud Fallout from the Pandemic

July 19, 2021

Without question, the COVID-19 pandemic profoundly affected the health care industry. In some cases, the effects were fleeting, such as hospital over-crowding and supply chain challenges related to masks, oxygen and vent...

Texas OIG Quarterly Report Highlights: Texas Continues to Pursue COVID-19 Related Fraud

July 12, 2021

The COVID-19 pandemic drove significant changes and expansion in care delivery practices. The federal government and the State of Texas implemented policy and treatment flexibility to ensure continued access to care and ...

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