1. What is the NPDBThe National Practitioner Data Bank (NPDB) was created as part of the Health Care Quality Improvement Act of 1986 (HCQIA). This legislation was intended, in part, to establish a database of medical malpractice payments, State licensure board actions, negative peer reviews / clinical privilege determinations, and certain other adverse actions taken… more>>
WASHINGTON, DC - As the novel coronavirus, also known as COVID-19, continues to infect people in the United States, nursing homes, assisted living, and other elderly healthcare facilities face an increased risk of fatalities compared to the American population as a whole. The virus has infected over 90 locations worldwide and there have been 35… more>>
(September 26, 2019): Over the past year, both State and Federal law enforcement investigators and prosecutors have gone to considerable lengths to publicize the government’s fight against opioid abuse. While much of this fight has focused on the manufacturers of prescription opioid products, the improper prescribing practices of physicians and other medical professionals found to… more>>
(May 30, 2019) In August, 2011, the State Department of Public Welfare issued a bulletin requiring providers to screen employees and contractors upon hire and monthly thereafter by the (Medicheck) Pennsylvania Medicaid Exclusion List (their corresponding State exclusion/preclusion list), the HHS/OIG List of Excluded Individuals and Entities (LEIE) and the Excluded Party List (EPLS, now… more>>
OIG Enforcement Actions: Exclusions & Notable Decisions from April 2019(May 10, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), has continued its goal of enforcing its guidelines and rules upon medical providers participating in their programs. The OIG has kept pursuing its goal of protecting the integrity of its federal health… more>>
What are the California Exclusion List Screening requirements? The Medi-Cal Program will not pay for any item or service furnished directly or indirectly by individuals or entities that have been excluded or suspended from the Medi-Cal Program or that have been placed on the Office of Inspector General’s Exclusion List. This results in a broad… more>>
OIG Enforcement Actions: Notable Decisions from March 2019 (April 2, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), has continued its goal of enforcing its guidelines and rules upon medical providers participating in their programs. The OIG has kept pursuing its goal of protecting the integrity of its federal… more>>
(April 2, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), has continued its goal of enforcing its guidelines and rules upon medical providers participating in their programs. The OIG has kept pursuing its goal of protecting the integrity of its federal health care programs and their respective patients. Several… more>>
(March 1, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), has continued its goal of enforcing its guidelines and rules upon medical providers participating in their programs. The OIG has kept pursuing its goal of protecting the integrity of its federal health care programs and their respective patients. Several… more>>
(February 6, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), didn’t skip a beat ringing in the new year. The OIG kept pursuing its goal of protecting the integrity of its federal health care programs and their respective patients. Several notable cases in which the OIG found inaccuracies or… more>>