Is Your Partner Excluded? Doctors, Take Note.

Posted by Frank Strafford on July 13, 2015 in Healthcare HR, Industry News,

 

An attorney with HHS’ Office of Inspector General said Thursday that the OIG is hiring additional lawyers to look into taking more administrative actions against doctors. They’re looking for the types of questionable payment arrangements addressed in an OIG fraud alert issued earlier this week.

Is Your Partner Excluded? Doctors, Take Note.

So begins Modern Healthcare’s expose on the OIG’s newly-awakened interest in pursuing allegations against individual doctors.

A number of legal experts agree that the alert, issued Tuesday, could signal that the feds plan to increasingly pursue allegations against individual doctors, rather than just the organizations that pay them. “The OIG’s going to start focusing on physicians,” said Adrienne Dresevic, an attorney with The Health Law Partners, at the conference. “This OIG alert is basically (directed at) the physician community.”

Will this alert, issued after a host of OIG settlements connected to the anti-kickback statute, extend to exclusion screening as well?

In all candor, exclusion screening as a compliance necessity is still coming of age.  The sheer confusion inherent in the legislature – Do we really need to screen against every state OIG?  Do we really need to screen every month?  Do we really need to screen every employee and vendor? – leaves the door wide open for gaps in exclusion screening protocols, even amongst big-time medical facilities and employers.  Add the fact that it seems far more logical for the OIG to target facilities, and it’s no wonder that small, privately-owned medical practices rarely bother with exclusion screening.

On the other hand…  Last month, Dr. Arastoo Yazdani, MD of Maryland paid $42,334.50 for inadvertently employing an excluded individual.  The settlement was a rarity, in a province that has been dominated by fines issued to facilities up until this point.  Dr. Yazdani self-disclosed, so there’s no proof that the OIG would have independently pursued a claim against him.  But if the anti-kickback fraud alert is truly an indication of the OIG’s intended focus for the future, you can’t help but wonder…

About Frank Strafford

About Frank Strafford

Related Articles

Florida OIG Exclusion

July 5, 2016

Florida Healthcare Exclusion Under the State of Florida’s Agency for Health Care Administration (AHCA) is the Office of the Inspector General, spearheaded by Chief Kelly Bennett. As an integral par...

Conducting Investigations and Responding to Government ...

April 28, 2021

Streamline Verify is proud to have had the privilege of working with the Journal of Regulatory Compliance at Loyola University Chicago School of Law to help galvanize research and resources for the pu...

THE IMPORTANCE OF SANCTION SCREENING TO ...

May 19, 2021

What Is A Sanction Check Sanctions against medical personnel can create significant risk to a healthcare organization from financial, compliance and patient safety perspectives. Therefore, it is c...

Understanding OIG Exclusions

OIG Exclusions Screening Process

Exclusion FAQS

Quick OIG Exclusion Basics

Employing Excluded Individuals

Consequences to Employing an Excluded Individual

OIG Compliance Law

Laws and Publications on OIG Compliance

More Compliance Resources

The Verify Way!

We build the best, so you can perform at your best.

Trusted for Good Reason

  • ✓ Guaranteed accurate
  • ✓ Certified Secure
  • ✓ Audit Proof
  • ✓ Feature-rich reporting
  • ✓ Round the clock real-time-data
  • ✓ Processing fully automated

Security First

  • ✓ Cloud hosted
  • ✓ Encrypted data
  • ✓ Real-time backups

Trusted for Accuracy

  • ✓ Physical security
  • ✓ Restricted access
  • ✓ Single sign-on
  • ✓ Password security
  • ✓ Certified secure
  • ✓ Cross checking

HEALTHCARE ESTABLISHMENTS NATIONWIDE COUNT ON STREAMLINE VERIFY

5

60%

Average workload reduction by implementing the Streamline Verify program

5

10K

Establishments trust Streamline Verify nationwide

5

2011

Serving the healthcare industry’s unique compliance needs since 2011

5

24X

Setting standards with hourly synchronization to primary source data

[class^="wpforms-"]
[class^="wpforms-"]