Archives - July 2016


5 Factors that Reinforce the Need for OIG Checks for Medicaid Fraud

Following the passing of the Patient Protection and Affordable Care Act (Affordable Care Act) into law, there has been rapid expansion of the Medicaid program in most states. By September 2015, 29 states and the district of Columbia had experienced expansion of the program, both in the number of people served and money spent. This …


Why OIG Monitoring is Important for Home Health

For home health agencies, when hiring medical directors and employees, it is critical to consistently check your employees on the OIG, SAM and state exclusion sites to ensure no prior history.  An OIG analysis of Medicare claims filed in 2014 and 2015 reveals high prevalence of fraud, particularly in certain geographies spread out in 12 …