All healthcare organizations are required to comply with CMS Fraud, Waste, & Abuse Laws. Office of Inspector General (OIG) is tasked with enforcing these laws.

There are 5 Fraud, Waste, & Abuse Laws:

Physician Self-Referral Law

Anti-Kickback Statute

False Claims Act

Civil Monetary Penalties Law

Exclusion Authorities

Risks of non-compliance:

Civil Monetary Penalties

Criminal Penalties

Exclusion from Medicare and Medicaid

One way to comply with CMS Fraud, Waste, & Abuse Laws is to regularly check the OIG List of Excluded Individuals and Entities monthly. HIPAA watchdog provides comprehensive Exclusion Monitoring to meet the exclusion criteria for Employees and Vendors. In addition OIG / GSA / SAM Exclusion Monitoring, HIPAA Watchdog can validate your employees and vendors against Medicaid Exclusion and Preclusion List.