Remove what-you-need-to-know-about-medicare-medicaid-exclusion
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How To Prepare for an OIG Inspection

MedTrainer

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. Preparing for an OIG inspection is really about preventing issues like the Louisiana clinic was confronted with.

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Spring Forward With 2024 Compliance Changes

MedTrainer

The concept of “Springing in the New Year” starts with giving up those bad compliance habits that always put you behind and your organization at risk. The concept of “Springing in the New Year” starts with giving up those bad compliance habits that always put you behind and your organization at risk.

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Verisys- Healthcare Fraud and Abuse

Verisys

3 Healthcare Fraud and Abuse Laws Providers Should Know About In 2021, the Department of Justice reported recovering over $5.5 You may find this surprising, but as federal healthcare spending increases, so does the risk of abuse. billion from settlements due to fraud and false claims. government or a government contractor.

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Sanctions and penalties for hiring excluded individuals in healthcare 

YouCompli

Best practices to ensure an effective exclusion check. Do you know how many “excluded” individuals are on your payroll? Do your hiring managers and Human Resources colleagues know what to look for? These exclusions are generally related to criminal activity like fraud or healthcare-related misconduct.

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

Provider Trust

We often get asked the same clarifying questions – Are all exclusions created equal? Does it matter where an exclusion originated, or which agency issued it? Do exclusions differ across databases? Inquiring minds want to know. What is an exclusion and how does it affect your organization?

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Understanding A FACIS Level 3 Background Check

Verisys

What is a FACIS® Level 3 background check? What does it entail? A Level 3 FACIS background check is the gold standard for exclusion screening, verification, and monitoring. A Level 3 FACIS background check is the gold standard for exclusion screening, verification, and monitoring.

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Be CMS Survey-Ready With These Tips, Checklists, and Reports

MedTrainer

One crucial aspect of this is knowing how to prepare for a CMS inspection by the Centers for Medicare & Medicaid Services. Let’s start with a checklist followed by tips for compliance reports to help you be CMS survey-ready. Waiting until the day of an inspection to get things together is just too risky.