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Category: Exclusion Basics
Exclusion Basics
Exclusion Basics
What is an Exclusion Waiver and Who May Apply for one?
April 16, 2024
We have previously discussed that once a provider is excluded he may not furnish items or services...
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Exclusion Basics
How the LEIE, GSA/SAM, and State Exclusion Lists Differ; And Why They Need to be Screened
February 19, 2024
Exclusions and debarments are powerful administrative sanctions imposed by Federal and State agencies....
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Exclusion Basics
Why is it Necessary to Screen Against the NPPES and its NPI Registry Database?
December 15, 2023
We are sometimes asked, “Why do you screen against the National Plan and Provider Enumeration System...
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Exclusion Basics
What is an OIG Exclusion?
November 10, 2023
OIG Exclusions are powerful enforcement sanctions that bar an individual or entity from any participation...
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Exclusion Basics
What is the NPDB?
April 28, 2021
I. What is the NPDB The National Practitioner Data Bank (NPDB) was created as part of the Health Care...
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Exclusion Basics
What is the Length of A Mandatory Exclusion?
January 8, 2021
The Department of Health and Human Services (HHS), Office of Inspector General (OIG) is responsible for...
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Exclusion Basics
What is the Scope of a Mandatory Exclusion Brought Under Section 1128(a)(4) of the Social Security Act (Act)?
December 22, 2020
The Department of Health and Human Services (HHS), Office of Inspector General (OIG) exercises both mandatory...
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Exclusion Basics
What Medical Practices Need to Know About OIG Exclusion Screening
August 9, 2016
[1] The Office of Inspector General (OIG) has steadily increased its enforcement of OIG Exclusion Screening...
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Exclusion Basics
How to Apply for OIG Reinstatement
March 4, 2016
I. The OIG Reinstatement Process Most exclusions are imposed for a definite time period....
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Exclusion Basics
Exclusion Screening Required in United States Territories
August 21, 2015
Our experts at Exclusion Screening, LLC maintain fact sheets that contain the screening requirements...
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Exclusion Basics
Exclusion Screening of Contractors and Vendors
June 30, 2015
This article was written by Paul Weidenfeld [1] By now, providers should be aware that the Office of...
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Exclusion Basics
Exclusion Screening Basics for Providers
June 22, 2015
Exclusion Screening Is Mandatory Providers of medical services that participate in Federal or State Health...
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Exclusion Basics
OIG's Updated Special Advisory Bulletin on the Effect of Exclusions
April 20, 2015
The Office of the Inspector General (OIG) Broadly Interprets Exclusion Regulations OIG’s Demonstrated...
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Exclusion Basics
Medicare Enforcement
Why Should I Screen Against Every State Exclusion List?
January 19, 2015
The Office of the Inspector General (OIG) issued a Special Advisory Bulletin in May 2013, which states...
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Exclusion Basics
Who Should Be on my OIG Exclusion Screening List?
January 2, 2015
I. Federal and State Agencies Conducting Audits As many healthcare providers and suppliers have painfully...
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Exclusion Basics
Must Haves for a Proper Exclusion Screening Process
December 2, 2014
At Exclusion Screening, LLCSM, we know the ins-and-outs of the exclusion screening process. In our opinion,...
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Exclusion Basics
Medicare Enforcement
The Administrative Process of Imposing an OIG Exclusion
November 24, 2014
I. Mandatory OIG Exclusions When the Office of Inspector General (OIG) considers imposing a mandatory...
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Exclusion Basics
Do I Really Need to Screen My Employees and Vendors Each Month?
November 20, 2014
I. OIG Recommends Monthly Screening While there is not a formal regulation that mandates monthly...
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