How to Do Pre-employment Screening the Right Way

OIG Background Check Basics: Not every medical practice is large enough to employ a full-time compliance officer, but every medical facility is large enough to get slammed by the OIG for messing up on some part of the sc...

Ohio Medicaid Provider Exclusion and Suspension List

Ohio Medicaid Provider Exclusion and Suspension List The Ohio Department of Medicaid (ODM) was founded in July 2013. It is the premier Executive-level Medicaid agency of the state of Ohio. Led by Director John B. McCar...

Compulsory Exclusion Screening at the Federal and State ...

[fullwidth_text alt_background="none" width="1/1" el_position="first last"] Exclusion Screening 101 Exclusion screening occurs at both the federal and state levels. The federal government maintains two principal exclus...

OIG Exclusion Made EASY

The U.S. Department of Health and Human Services established The Office of Inspector General (OIG) to carry out these basic functions: The identification and elimination of fraud, waste, and abuse of the programs init...

A Taste of Their Own Medicine – Pharmacists Defrauding ...

Medicaid and Medicare frauds run to the tune of billions of dollars each year. Running a check on OIG exclusions is one way to catch this fraud, and also protect one’s healthcare system from doing business with blackl...

The Baby-Boomer Effect: How Healthcare Fraud is Turning ...

  The National Healthcare Anti-Fraud Association approximates 3 to 10 percent of annual healthcare expenditures account to fraudulent claims. This means that in the $600 billion spent for Medicare back in 2012, $60...

Powerball and The Compliance Officer

The exhilaration of tonight’s $1.5 billion Powerball drawing is attracting even people who don’t typically play the lottery. And, in many organizations, employees are pooling their resources with the promise of split...

2015: OIG Compliance Year in Review

How did healthcare compliance fare in 2015? Overall, it was quite a busy year for the OIG and various organizations, with noteworthy settlements and enforcement activities beginning as early as January. The OIG excluded ...

Driving Healthcare Costs Down, By Bringing OIG Compliance ...

  Why does medical care cost so much, anyway? Dumb question.  It doesn’t take a rocket scientist to understand that healthcare costs.  Treatments cost, prescriptions cost, equipment costs.  Everybody knows th...

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