States With Separate Medicaid Exclusion Lists
The focus of this article is to help providers identify which States have separate Medicaid Exclusion Lists, how they…
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…
Pennsylvania Medicheck Preclusion List: A Provider’s Guide to Screening
The Pennsylvania Precluded Provider List, commonly referred to as “Pennsylvania Medicheck,” identifies individuals and entities who have been excluded from…
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…
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…
Why Should We Screen Against the Social Security Administration Death Master File?
At Exclusion Screening, we often receive questions about the scope and frequency of an organization’s screening duties and responsibilities. One…
Resolving Exclusion Violations through the OIG Self-Disclosure Protocol
I. Introduction The Office of Inspector General (OIG) has the authority to exclude providers from participating in federal health care…
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…