tci Medicare Compliance & Reimbursement - 2023 Issue Q1

Industry Notes: Ensure Your Staff Are Legally Credentialed

Not only do you need to check the HHS Office of Inspector General (OIG’s) searchable database of individuals excluded from federal healthcare programs, but you also need to do an educational background check on your clinical staff, too, a recent enforcement action reminds. Scoop: Last month, OIG embarked on a massive enforcement action focusing on a fraud scheme that sold fake and fraudulent nursing degrees, diplomas, and transcripts from accredited nursing schools in Florida to individuals across a multitude of states. “The individuals who acquired the bogus nursing credentials used them to qualify to sit for the...

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