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Ohio Medicaid Provider Exclusion and Suspension List

February 18, 2016

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. McCart...

OIG Exclusion Made EASY

February 9, 2016

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 initia...

The Most Outrageous Frauds [Infographic]

October 15, 2015

The cases presented below prove that fraud hurts real people every single time it happens. Outstanding medical bills have become a chief reason for filing personal bankruptcy in the US. The health of patients continue to...

What happened to Small Smiles dentists?

September 17, 2015

The dentistry was rotten; the teeth were not. If there was ever a practice worthy of exclusion, Small Smiles Dentistry for Children was it.  To quote just one of the many reports released about the now-infamous chain: ...

Excluded Ambulance Drivers: Whose Responsibility?

September 7, 2015

Four Jacksonville, FL hospitals have agreed to pay a combined $7.5 million settlement for crimes that they did not commit. Jacksonville Business Journal reports that the four -- Baptist Health, which runs four hospitals...

Can OIG Exclusion Wreck My Career Forever?

August 3, 2015

We picked this one up from allnurses.com, an open forum for nurses and nursing students. HELP! I just learned that I've been on the OIG Exclusion list since Jan 2003 following my RN license surrender / revocation for nar...

On the Ohio State Medicaid Fraud

June 22, 2015

Since the Affordable Care Act was passed in 2010, there has been a pronounced crackdown on health care-related fraud. Why, then, have revoked/terminated providers managed to slip through the cracks and are still taking a...

A Synopsis of 2014 Exclusion Fines

May 14, 2015

Here is a helpful infographic detailing the 2014 OIG Exclusion Fines. Using charts and maps, the infographic is divided into sections by type, by month, and by state. A quick look reveals 15 types of health care faciliti...

Can You Provide Incentives for Exclusive Lab Arrangements?

April 6, 2015

At the end of last month, the Office of the Inspector General of the United States Department of Health and Human Services, issued an advisory opinion for all healthcare compliance officers -- but really, anyone involved...

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