How to Screen Referring, Ordering, and Prescribing Physicians
Learn how to screen your non-employed provider populations (referring, ordering, prescribing physicians with NPI verification and ongoing sanction/exclusion monitoring.
Tag: CMS
Top Vulnerabilities of Personal Care and Home Health Services
The steady rise in demand for home health and personal care services and lack of certain controls has produced vulnerabilities in government healthcare programs to eliminate fraud, waste, and abuse.
December 2019 HHS OIG Work Plan Updates
December HHS OIG Work Plan updates include reviews and audits of the UAC program, cyber security controls for VAERS, national background checks for long term care facilities, and more.
HHS OIG Releases 2019 Fall Semiannual Report to Congress
HHS OIG Acting Inspector General, Joanne M. Chiedi releases the Fall Semiannual Report to Congress, summarizing department activities and accomplishments.
November 2019 HHS OIG Work Plan Updates
November HHS OIG Work Plan updates include HHS IT audits, an opioid crisis toolkit, MAO collection of ordering provider information, MFCU oversight, and more.
October 2019 HHS OIG Work Plan Updates
October HHS OIG Work Plan updates include supplier Medicare compliance, hospice cap calculations, Medicare Part B payment reviews, FDA medical device surveillance, and more.
What Expanded CMS Authorities Mean for Providers and Payors
Learn more about the latest CMS rule designed to combat fraud in healthcare and its implications for your organization.
September 2019 HHS OIG Work Plan Updates
September HHS OIG Work Plan updates cover the ORR efforts to ensure health and safety of unaccompanied children, reviews of Medicaid specialty drugs, and an evaluation of new policies for Indian Health Services.
CMS Announces Higher Compliance Standards for Provider Enrollment
As CMS releases the final rule around Program Integrity Enhancements to the Provider Enrollment Process, prepare for new affiliations and disclosure requirements.
August 2019 HHS OIG Work Plan Updates
August updates to HHS OIG Work Plan include a review of the use of telehealth in Medicaid Managed Care, an investigation into Medicaid and Medicare Part D in overprescribing, nursing home oversight reporting, and more.
Beyond Employee Monitoring: Vendors and Supply Chain
Did you know you need to be monitoring your vendors for exclusions? Get the eBook to learn more.
The Ultimate Guide to Exclusions
Learn about the OIG and the risks of doing business with an excluded provider and how to avoid those fines.
Quick Guide to the Medicare Opt Out List
Learn more about the Medicare Opt Out Affidavit list and how to automate provider verification for billing, claims processing, referral networks and more.
CMS Preclusion List Update
Learn more about the provider information found on the CMS Preclusion List, and how it affects Medicare Advantage Plans and Part D prescribers.
