Are monthly exclusion screening checks mandatory? According to healthcare compliance experts, the vast majority of facilities are just not doing them... The following post on HCCAnet, the health care compliance expert, caught our eye. "How many times are you conducting...
What Are the Effects of OIG Exclusion?
December 22, 2014
A person can end up on the OIG List of Excluded Individuals for a range of reasons and the main effect of being excluded is that individuals cannot receive payment through Medicare, Medicaid or any other federal health care program...
When Are You Allowed to Employ an OIG Excluded Individual?
December 22, 2014
Organizations that bill Medicare, Medicaid and other federal healthcare programs should ideally check exclusion lists once a month after the initial hire. There are a few exceptions to the tight regulations surrounding screening. Essentially, an excluded individual can be employed if the...
Qualities to Look For When Hiring Healthcare Professionals
December 16, 2014
When you're hiring a contractor or employee to provide healthcare, it's important to your organization and your patients that you only hire the best. But how can you identify the best healthcare workers? Top healthcare providers are always great communicators...
Are all excluded individuals criminals?
December 12, 2014
If a medical provider has been excluded from participation in Federal and State healthcare programs, does that mean that s/he is a criminal? Not necessarily. Exclusion from Federal and State healthcare programs can be the result of a host of...
Once excluded, never reinstated?
December 9, 2014
In a previous post, we made the wry observation that even death can't get an excluded individual off of the LEIE - unless the deceased undertakes (no pun intended) official reinstatement protocols. As it happens, we're learning that even reinstatement is...
The OIG Goes Digging
December 2, 2014
It was completely unexpected. One fine day in March, Texas-based corporation Daybreak Venture, LLC, received a letter stating that excluded individuals had been discovered amongst its employee rosters. Seven months later, the episode closed with a fine of $357,341.96. Daybreak...
Five Tips to Remember When Screening for OIG Compliance
November 24, 2014
OIG exclusion screening is an important way to stay on the good side of the Office of the Inspector General and ensure you get the Medicare and Medicaid services you need to operate. Most employers screen for OIG healthcare compliance...
Need conclusive identification of potential OIG matches? Try Sherlock Holmes.
November 18, 2014
Despite all of the technological advances in the field of OIG exclusion verification, separating real matches from false ones is still an exercise in frustration. Assuming you've got the right software, a typical OIG exclusion search is easy: You simply...
