The History of the OIG

March 22, 2021

HHS OIG: A BRIEF HISTORY A U.S. federal Inspector General (IG) is the head of an independent, non-partisan organization established within each executive branch agency. It is assigned to audit and investigate the agen...

A New Use for the National Plan & Provider ...

March 15, 2021

A Brief History of the NPI and NPPES As defined by the Centers for Medicare and Medicaid Services (CMS), the National Provider Identifier (NPI) is a unique 10-digit, intelligence-free identification number for covered...

The Often-Unknown Impact of OIG Exclusions

March 8, 2021

Search the internet on OIG enforcement and you will eventually find articles about nurses, physicians, pharmacists and other licensed medical personnel and their travails related to OIG exclusion. A common theme running ...

SAM.gov Continues to Evolve

March 1, 2021

Since 2017, the General Services Agency’s (GSA) Integrated Award Environment program office has been working to consolidate all related procurement tools into a single modernized online environment. The GSA manages fed...

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. Those individuals or entities with whom providers contract can su...

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 the n...

Understanding OFAC and the 50% Rule

February 1, 2021

The U.S. Office of Foreign Asset Control (OFAC) is the department of the U.S. Treasury that is responsible for facilitating compliance with the U.S. foreign policy and national security agendas.  OFAC works to ...

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...

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