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2021 Audit Alert: Background Checks for Nursing Home Employees

February 22, 2021

In January of 2021 Centers for Medicare and Medicaid Services (CMS) announced that they would be auditing compliance with the National Background Check Program for Long-Term Care Providers. The National Background Check ...

What Providers Need to Know About Checking OIG ...

February 15, 2021

U.S. healthcare providers who participate in federal or state healthcare programs such as Medicare or Medicaid must be vigilant in their hiring practices. Hiring or retaining excluded individuals or entities can subject ...

CMS Preclusion vs OIG Exclusion

February 8, 2021

On January 1, 2019, the Centers for Medicare & Medicaid Services (CMS) introduced a new tool for Medicare plans – the CMS Preclusion List.  A previous article posted in 2018 provides an excellent overview of t...

Is it necessary to Check both the OIG ...

January 25, 2021

To answer this question, it is important to understand how the two federal databases relate to each other and how they differ. Common Purpose Both databases were created to promote quality health care for the publi...

Referrals from Excluded Providers

January 18, 2021

Hospitals and other health care providers typically rely on referrals from community providers as a major source of patients and revenue. The federal Stark and Anti-Kickback laws strictly regulate provider and facility a...

Differences Between the OIG’s LEIE and GSA’...

January 11, 2021

INTRODUCING THE OIG LEIE & the GSA’s SAM Database It is the government’s responsibility to protect its health and human services programs from fraud and abuse, as well as to safeguard the welfare of those who ...

COVID-19 Health Care Changes that May Survive the ...

January 4, 2021

The COVID-19 pandemic has changed the face of the health care industry on multiple fronts. These range from the multiple blanket 1135 temporary waivers issued by CMS that control how care for federal program beneficiarie...

Understanding Waivers & the Duration of OIG Exclusions

December 28, 2020

Exclusion Background As noted in past blog posts, HHS OIG Exclusions are comprehensive and significant. Exclusion from participation in federal healthcare programs can have a profound effect on a provider’s healthcare...

Survey and Accreditation Activities in the Age of ...

December 21, 2020

As the first vaccines are delivered across the US, we can begin to look forward to a post-pandemic future and resuming routine activities that have been sharply curtailed in 2020.  This includes the resumption of the fu...

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