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…
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…
North Carolina Exclusion Screening Requirements
To understand the North Carolina Exclusion Screening Requirements, we must first touch upon Exclusions in general. Office of Inspector General…
Massachusetts Medicaid Exclusion Screening Requirements
Massachusetts Medicaid Exclusion Screening: Requirements and Best Practices for Compliance The Massachusetts Medicaid Exclusion requirements, under MassHealth, will not reimburse…
Alabama Exclusion Screening Requirements
(May 2, 2019) The Alabama Medicaid Program imposes significant exclusion screening requirements on its providers. Many are unaware of the extent…
A Provider’s Guide to Texas Medicaid Exclusions: 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…
Exclusion Loophole: Medicaid Managed Care
In August, we discussed an OIG audit, which revealed that Medicaid providers who were terminated for cause were often able…
OIG Issues Advisory Opinion on Exclusions
I. Advisory Opinion on Payments for Services Provided Prior to Exclusion The Department of Health and Human Services Office of…