OIG Semiannual Report to Congress Includes Largest Health Care Fraud Case in History
The Health and Human Services (HHS) watchdog improved its own efficiency by using more sophisticated data analytics to protect…
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OIG’s Top Challenge Remains Medicaid Fraud – Harsher Action Is Evident
In November, OIG released its 2017 report updating its top management challenges and strategic priorities. The first and second…
Fun Ways to Celebrate Corporate Compliance & Ethics Week
Compliance week provides a great opportunity to change your workers’ attitudes towards compliance, educate them, and generally raise awareness…
Medicaid Program Integrity Identified by OIG as Top Challenge
In 2016, the Health and Human Services (HHS) Office of the Inspector General (OIG) described its ten most pressing…
CMS Implements Emergency Waivers For Hurricane Harvey & Irma Stricken States
The Centers for Medicare and Medicaid Services (CMS) is temporarily waiving some of its provider enrollment requirements to improve…
Hurricane Irma Claims Eight Deaths of Nursing Facility Residents in Florida
As a committed healthcare partner, and as people with our own aging loved ones, our hearts are broken for…
Understanding Which Excluded Employees & Entities Are Problematic
It is important to understand the situations in which excluded individuals or entities will subject an organization to the…
DEA Screening: What is it, Who Needs it & How Does it Work?
The DEA is a branch of the US federal government that works exclusively with drug regulations and enforcement in…
ALERT: All Providers Are Required To Redo Texas Employee Misconduct Registry (EMR) Searches
DADS is urgently asking all providers to re-screen immediately any names that were already screened against the EMR…
OIG Regulation Excludes Student Loan Defaulters from Federal Health Programs
The U.S. Department of Health and Human Services (HHS) published a regulation in January 2017 that expands and clarifies…
How OIG Sanction Checks Affect Your Organization
Organizations should understand the severity of violating a sanction ruling. Without proper understanding of OIG sanction checks, organizations may…
What to Do When You Find an Excluded Party in Your Employment
Discovering that you’re employing an excluded individual can happen even to the most meticulous in the healthcare industry. How…
MFCU 2016 Annual Report: States Getting Better at Finding Medicaid Fraud and Abuse
State Medicaid Fraud Control Units are continuing a five-year trend of increasing convictions, civil settlements and exclusions for fraud…
NHS Cyberattack Threatens Thousands in Healthcare Industry
The world is still shaking from the recent WannaCry ransomware attack. The largest cyber-attack in England’s National Health Service…
