CMS Implements Emergency Waivers For Hurricane Harvey & Irma ...

October 2, 2017

During the disaster, a state Medicaid program doesn’t have to screen and enroll a provider who is enrolled in Medicare or another state Medicaid program. The Centers for Medicare and Medicaid Services (CMS) is temporar...

Hurricane Irma Claims Eight Deaths of Nursing Facility ...

September 20, 2017

During a disaster like a hurricane, healthcare facilities face enormous challenges in keeping patients safe during the storm and afterward—especially if the power goes out. Eight residents in a skilled nursing facility...

Understanding Which Excluded Employees & Entities Are Problematic

September 19, 2017

When is an Excluded Individual or Entity Problematic? According to federal law, the OIG is legally permitted to enforce CMP (Civil Monetary Penalties) upon any individual or entity which breaches their regulations. Regu...

DEA Screening: What is it, Who Needs it & ...

September 6, 2017

Screening employees and potential hires is an important step in maintaining quality service and protecting oneself against federal law infringement. One of the areas that hospitals, credentialing offices, and medical fac...

ALERT: All Providers Are Required To Redo Texas ...

August 9, 2017

The Texas Department of Aging and Disability Services (DADS) has just notified providers via their website that there was a delay in uploading names to the Employee Misconduct Registry (EMR) during the period of June 9, ...

OIG Regulation Excludes Student Loan Defaulters from Federal ...

August 2, 2017

Mini graduation cap on US money -- education costs in the design of information related to the cost of education Healthcare providers who did not fulfill their obligations under a student loan, scholarship or loan rep...

How OIG Sanction Checks Affect Your Organization

July 6, 2017

The Importance of OIG Sanction Checks The purpose of the OIG is to assist in the elimination and identification of harmful practices such as waste, abuse, and fraud within the Health and Human Services sector. As such...

What to Do When You Find an Excluded ...

June 15, 2017

Discovering that you’re employing an excluded individual can happen even to the most meticulous in the healthcare industry. How you address this mistake is another thing altogether. Properly addressing the issue means ...

MFCU 2016 Annual Report: States Getting Better at Finding ...

June 5, 2017

State Medicaid Fraud Control Units are continuing a five-year trend of increasing convictions, civil settlements and exclusions for fraud and abuse. A report, released by the U.S. Department of Health and Human Services ...

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