How Outsourcing the Sanctions Screening Process Can Increase Efficiency
Challenges of Conducting Effective Sanction Screening While they may be rare, instances of fraud, waste, abuse and other illegal or…
OIG Describes Factors In Deciding Upon Sanctioning
The OIG has authority to exclude any individual or entity (collectively, “person”) from participation in the Federal health care programs…
Kusserow on Compliance: Personal Care Services (PCS) Attendants Need Stricter Screening
By Richard Kusserow, former HHS Inspector General and CEO of Compliance Resource Center. Reprinted from his Wolters Kluwer‘s Kusserow on…
OIG Releases FY 2016 Work Plan And Highlights Exclusion Enforcement
On November 2, 2015, the Department of Health and Human Services Office of Inspector General released their fiscal year (FY)…
The Former HHS Inspector General Offers Tips To Improve Your Physician Sanction Screening Process
Conducting sanction and exclusion checks on staff physicians is not optional. Failing to conduct sanction and exclusion checks can result…
Healthcare Organizations Pay Over $1 Million To Settle Allegations For Employing Excluded Individuals In Second Quarter 2015
The Office of Inspector General of the U.S. Department of Health and Human Services (OIG) continues to crack down on…
New Report Finds Excluded Providers Still Participating In Medicaid Programs
On August 5, 2015, the U.S. Department of Health and Human Services Office of Inspector General (OIG) released a surprising…
Best Practices To Keep Healthcare Exclusion Screening and Sanction Costs Low
The U.S. Department of Health and Human Services Office of Inspector General (OIG) has issued numerous compliance program guidance documents.…
Practical Tips For Screening The OIG’S List Of Excluded Individuals And Entities
During my 11-year tenure as the U.S. Department of Health and Human Services Inspector General, I established the healthcare related…
First Quarter 2015 – OIG’s Enforcement Actions Against Organizations That Hire Excluded Individuals
During the first quarter of 2015, the Department of Health and Human Services Office of Inspector General (OIG) reported on…
Ohio Medicaid Foul-Ups With Accidental Termination Of 4,200 Providers
On March 18, 2015, the Ohio Department of Medicaid (Department) issued letters to approximately 4,200 Ohio Medicaid Providers stating they…
Health Care Providers Should Screen Unpaid Volunteers
One of the most often asked questions is whether it is necessary to sanction screen unpaid volunteers, in that they…