A Provider’s Guide to OIG Exclusions
Federal Exclusion Regulations and Enforcement Authorities, and How Providers Can Avoid Risk with Proper Exclusion Screening Office of Inspector General…
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…
What is the NPDB?
I. What is the NPDB The National Practitioner Data Bank (NPDB) was created as part of the Health Care Quality…
What is the Length of A Mandatory Exclusion?
The Department of Health and Human Services (HHS), Office of Inspector General (OIG) is responsible for overseeing the financial and…
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 and permissive exclusion authority…
Why is it Necessary to Screen Against the NPPES Registry?
We are sometimes asked, “Why do you screen against the National Plan and Provider Enumeration System (NPPES).” That is a…
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 state exclusion…
OIG Exclusion and State Exclusion Lists: Which Exclusion Lists Need to Be Screened? What Is the Difference Between Them?
There are two federal databases that list persons and entities that have been excluded from participating in federal health care…
What Providers Need to Know About Medicaid Exclusions in Texas: Exclusion Screening Requirements and Best Practices for Compliance
(December 17, 2018): Texas Medicaid Exclusions will prevent the Texas Medicaid Program from paying for any item or service furnished…
The New “Seventh Element” of Compliance: Screening and Evaluating Employee Suitability!
The recently issued Resource Guide for Measuring Compliance Program Effectiveness, reconfigures the traditional formulation of the “Seven Elements of an…