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Learn how to screen your non-employed provider populations (referring, ordering, prescribing physicians with NPI verification and ongoing sanction/exclusion monitoring.
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.
Learn how HHS OIG makes a decision on when to impose permissive exclusions for healthcare providers, managing employees, owners, vendors, and more.
At ProviderTrust, we spend a lot of time analyzing data because we love recognizing and explaining unique patterns to help tell a story. We are in the monitoring and verification
You found an excluded employee in your organization, now what? Likely, your first thought is a bit of panic and a lot of questions. How long has this person worked for us? How did we miss this? What position did they hold? Did we receive federal funds for the job this person held? What do I do now? If there is any good news in this scenario, perhaps it is that the Office of Inspector General (OIG) has given providers direction on how to prepare for a self-disclosure to the OIG via the OIG’s Provider Self-Disclosure Protocol (SDP) document.
Learn about the OIG’s process for excluding individuals and entities and how to apply to get reinstated by the OIG.
Learn how to perform a quick exclusion search via the OIG LEIE.
Learn how often you should perform an OIG-LEIE, GSA-SAM, and state Medicaid exclusion list checks to reduce your organization’s risk.
A CIA is a serious weapon available to the OIG to resolve allegations of fraud and abuse. Let’s take a look back at some of the history of Corporate Integrity Agreements and how they are used.
So now you’ve finished your internal audit and have all sorts of new information. Likely some great outcomes and perhaps some that you weren’t expecting. What should you do next? There isn’t one absolute answer but all audit findings have to be looked at and evaluated for appropriate next steps. Some outcomes are more serious than others and will cause a more immediate response, while others may require nothing more than some re-education and follow up next year. Let’s break down some of the possible audit outcomes and next steps so you don’t feel like these fish.
Learn how healthcare compliance officers make organizations a healthier place to work when it comes to culture, risk mitigation, providing quality care, and more.
In the healthcare industry, exclusions imposed by the Office of Inspector General (OIG) have long-lasting and punitive ramifications. There are many reasons why the OIG may impose an exclusion (also
