Neglected Senior Woman

OIG Discovers Abuse and Neglect at Skilled Nursing Facilities Not Always Reported or Investigated

Angie Szumlinski Legal

The Office of Inspector General (OIG) determined the prevalence of incidents of potential abuse or neglect of Medicare beneficiaries residing in skilled nursing facilities who had an ER Medicare claim in 2016 with a high-risk diagnosis code, whether these incidents of potential abuse and/or neglect were properly reported by the SNFs, whether the Centers for Medicare and Medicaid Services (CMS) …

Office of Inspector General – List of Excluded Individuals/Entities: May 2019

Angie Szumlinski Compliance, News

OIG has the authority to exclude individuals and entities from Federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud. Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or …

OIG Releases Study on the Assessment of State Background Checks for LTC Providers

Angie Szumlinski Announcements, Compliance

The National Background Check Program (Program) provides grants to States to develop systems to conduct background checks of State and Federal criminal history records for prospective long-term-care employees. Congress mandates that the Office of Inspector General evaluate various aspects of Program implementation. This report provides an assessment of States that concluded Program participation prior to 2017, and it also provides …