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OIG-LEIE, GSA-SAM, and State Medicaid Exclusion Lists: What’s the Difference?

Provider Trust

Exclusions are administrative actions that are placed upon an individual or entity by HHS OIG, a state agency or Medicaid Fraud Control Unit (MFCU), or by one of the many agencies associated with SAM.gov. Additionally, there are varying, disparate State Medicaid exclusions sources that require periodic screening.

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How to Increase Your Health Plan’s CMS Star Ratings to Earn More Revenue In 2021

Innovaare Compliance

Annually, the Centers for Medicare & Medicaid Services (CMS) releases star ratings, which measure the quality of care health plans deliver for its members. The higher the ratings, the larger the bonus payments health plans receive from the government. Centers for Medicare & Medicaid. Centers for Medicare & Medicaid.

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April-July 2022 State Regulatory Developments

New Jersey Healthcare Blog

The chapter describes the policies and procedures of the New Jersey Medicaid/NJ FamilyCare program regarding transportation services. to require that supervisors of licensed associate counselors be professional counselors licensed in New Jersey for at least three years and have an approved clinical supervisor certification.

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Is a Federal Medical License Constitutional?

Bill of Health

Although three in four doctors support scrapping state medical boards in favor of a single federal license, such sweeping reform is likely far off. Some scholars have interpreted this to mean that the federal government has the right under the Commerce Clause to regulate all medical licensure. By Timothy Bonis.

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