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

The regular screening of federal lists for individuals who are ineligible to participate in federal contracts is required of all…

August 16, 2021

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

The Basics - Failure to Monitor Federal Exclusion Lists Can Hit Your Bottom Line Health care providers which serve Medicare…

August 9, 2021

LEIE’s Weakest Link: State Data

Federal exclusion requirements have been in place for years. However, in the last decade there have been significant legislative efforts…

August 2, 2021

Utah MFCU Performance Overview

Background The function of Medicaid Fraud Control Units (MFCUs/Units) is to investigate and prosecute Medicaid provider fraud and patient abuse/neglect.…

July 26, 2021

Fraud Fallout from the Pandemic

Without question, the COVID-19 pandemic profoundly affected the health care industry. In some cases, the effects were fleeting, such as…

July 19, 2021

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

The COVID-19 pandemic drove significant changes and expansion in care delivery practices. The federal government and the State of Texas…

July 12, 2021

CORPORATE INTEGRITY AGREEMENTS – AN OFFRAMP ON THE ROAD TO EXCLUSION

When a health care entity is faced with permissive exclusion from participation in federal health care programs, the Health and…

July 5, 2021

FEDERAL COVID-19 FRAUD CRACKDOWN – FULL SPEED AHEAD IN 2021

Beginning in 2021, both the HHS OIG and the DOJ have leveraged their resources to focus to the fraud and…

June 28, 2021

Appealing an OIG Exclusion

Every year, hundreds of health care providers and entities receive notification from the HHS OIG that they are being considered…

June 21, 2021

UPDATED: The New Relevance of the Death Master File

The first COVID-related federal stimulus payments were sent in the spring of 2020. Unfortunately, payments were sent to millions of…

June 14, 2021