Exclusion Background As noted in past blog posts, HHS OIG Exclusions are comprehensive and significant. Exclusion from participation in federal healthcare programs can have a profound effect on a provider’s healthcare practice. There are two primary types of exclusions- mandatory...
Pandemic-Related Waivers by CMS and the Continued Importance of monitoring OIG Exclusion Lists
December 14, 2020
COVID 19 has resulted in a flurry of waivers by federal and state regulatory agencies related to the provision of health care for Medicare and Medicaid patients. The CMS blanket waivers (issued as “1135 waivers” under the Social Security Act)...
Exclusion Screening & the Affordable Care Act
November 30, 2020
If the Affordable Care Act (ACA) is repealed – the potential effect on program integrity protections remains unclear. Over the last few years, the effect of an ACA repeal on health care and health plan coverage has been a topic...
New Hampshire and Delaware Exclusion State Databases Now Added to Streamline Verify’s Portfolio
May 22, 2019
Healthcare organizations are now able to screen against the state exclusion databases of both New Hampshire and Delaware. They are the latest addition to Streamline Verify’s database portfolio. This brings the total to 44 states which carry lists of excluded...
A Quick Guide to OIG Compliance through Exclusion Screening Checks
May 8, 2018
OIG compliance procedures through regular LEIE checks can verify if you are employing individuals or contracting with entities who are listed on the OIG sanction list. The Office of the Inspector General (OIG) maintains a List of Excluded Individuals and...
What is a DEA Number, Who Needs to screen it & How Does it Work?
September 6, 2017
Screening employees and potential hires is an important step in maintaining quality service and protecting oneself against federal law infringement. One of the areas that hospitals, credentialing offices, and medical facilities often require is DEA screening. Below we will elaborate...
OIG Regulation Excludes Student Loan Defaulters from Federal Health Programs
August 2, 2017
Mini graduation cap on US money -- education costs in the design of information related to the cost of education Healthcare providers who did not fulfill their obligations under a student loan, scholarship or loan repayment program can be placed...
Infographic: Breaking Down the Exclusion Numbers
April 6, 2017
Click Infographic To Enlarge Here are some interesting takeaways to note: Nurses are still the most excluded among healthcare professionals -- higher than any other group including personal care providers and home health aides. Nurse exclusions reached an average of 1,638 and...
