Category: Exclusion Basics

Exclusion Basics

Current States With a Separate Medicaid Exclusion List
What is an Exclusion Waiver and Who May Apply for one?
We have previously discussed that once a provider is excluded he may not furnish items or services...
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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....
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Current States With a Separate Medicaid Exclusion List
Why is it Necessary to Screen Against the NPPES and its NPI Registry Database?
We are sometimes asked, “Why do you screen against the National Plan and Provider Enumeration System...
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What is an OIG Exclusion?
OIG Exclusions are powerful enforcement sanctions that bar an individual or entity from any participation...
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What is the NPDB?
I. What is the NPDB The National Practitioner Data Bank (NPDB) was created as part of the Health Care...
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What is the Length of A Mandatory Exclusion?
The Department of Health and Human Services (HHS), Office of Inspector General (OIG) is responsible for...
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What is the Scope of a Mandatory Exclusion Brought Under Section 1128(a)(4) of the Social Security Act (Act)?
The Department of Health and Human Services (HHS), Office of Inspector General (OIG) exercises both mandatory...
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Which Federal & State Exclusion Lists Should Be Screened?
The complex web of regulation encompassing government health care dollars is a lot to take on. With 41...
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What Medical Practices Need to Know About OIG Exclusion Screening
[1] The Office of Inspector General (OIG) has steadily increased its enforcement of OIG Exclusion Screening...
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Current States With a Separate Medicaid Exclusion List
How to Apply for OIG Reinstatement
  I. The OIG Reinstatement Process Most exclusions are imposed for a definite time period....
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Exclusion Screening Required in United States Territories
Our experts at Exclusion Screening, LLC maintain fact sheets that contain the screening requirements...
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Exclusion Screening of Contractors and Vendors
This article was written by Paul Weidenfeld [1] By now, providers should be aware that the Office of...
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Exclusion Screening Basics for Providers
Exclusion Screening Is Mandatory Providers of medical services that participate in Federal or State Health...
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OIG's Updated Special Advisory Bulletin on the Effect of Exclusions
The Office of the Inspector General (OIG) Broadly Interprets Exclusion Regulations OIG’s Demonstrated...
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Why Should I Screen Against Every State Exclusion List?
The Office of the Inspector General (OIG) issued a Special Advisory Bulletin in May 2013, which states...
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Who Should Be on my OIG Exclusion Screening List?
I. Federal and State Agencies Conducting Audits As many healthcare providers and suppliers have painfully...
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Must Haves for a Proper Exclusion Screening Process
At Exclusion Screening, LLCSM, we know the ins-and-outs of the exclusion screening process. In our opinion,...
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The Administrative Process of Imposing an OIG Exclusion
I.  Mandatory OIG Exclusions When the Office of Inspector General (OIG) considers imposing a mandatory...
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Do I Really Need to Screen My Employees and Vendors Each Month?
I.  OIG Recommends Monthly Screening While there is not a formal regulation that mandates monthly...
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