Blog 1 Column Post

Blog 1 Column Post

California Exclusion List Screening Requirements

What are the California Exclusion List Screening requirements?  The Medi-Cal Program will not pay for any item or service furnished…

Significant Recent Trends in Exclusion Case Settlements

The Office of the Inspector General (OIG) has recently entered into a number of exclusion case settlements tied to skilled nursing facilities…

States With Separate Exclusion Databases

The focus of this article is to help providers identify which States have separate exclusion databases, how theyare different from…

Pennsylvania Medicheck Preclusion List: A Provider’s Guide to Screening

The Pennsylvania Precluded Provider List, commonly referred to as “Medicheck,” identifies individuals and entities who have been excluded from participating…

How the LEIE, GSA/SAM, and State Exclusion Lists Differ; And Why They Need to be Screened

Exclusions and debarments are powerful administrative sanctions imposed by Federal and State agencies. They are intended to protect their programs…

Why is it Important to Screen Against the GSA’s SAM Database?

(January 16, 2024):  The importance of screening employees, vendors and contractors against available federal and State exclusion databases cannot be…

Why is it Necessary to Screen Against the NPPES and its NPI Registry Database?

 We are sometimes asked, “Does Exclusion Screening perform NPI1 screening services?”  That’s a great question. The answer is “YES.” As discussed below,…

An Overview of the Medi-Cal Suspended and Ineligible Provider List

Most healthcare providers and suppliers in the State of California are aware that exclusions imposed by the Department of Health…

A Provider’s Guide to OIG Exclusions

A Provider’s Guide to OIG Exclusions: Federal Exclusion Regulations and Enforcement Authorities, and How Providers Can Avoid Risk with Proper Exclusion…

What is an OIG Exclusion?

OIG Exclusions are powerful enforcement sanctions that bar an individual or entity from any participation in Federal and State health…