Why Medicare, Medicaid, and Other Federal Health Care Program Participants Should Regularly Screen CMS Revocation Database
The Centers for Medicare & Medicaid Services (CMS) recently posted a database on its website that identifies individuals…
Category Exclusion Screening Basics
Introductory articles on exclusion screening: what an OIG exclusion is, who must be screened, how often screening must be performed, and how federal and state exclusion lists interact. Start here if you are new to the topic, then work up to the definitive guides and state-specific requirements.
Read MoreWhy Medicare, Medicaid, and Other Federal Health Care Program Participants Should Regularly Screen CMS Revocation Database
How Providers Can Check OIG Exclusions on Their Own
This guide helps ensure compliance by verifying that individuals and entities are not excluded from participation in federal healthcare programs (Medicare, Medicaid, etc.) using the OIG’s online lookup tool.
Top 5 Challenges in Exclusion Monitoring and How to Solve Them
Exclusion monitoring is a mandatory and complex compliance function critical to minimizing liability risks for healthcare providers. The…
Why is it Necessary to Screen the NPPES Registry Database?
We are sometimes asked, “Why do you screen against the National Plan and Provider Enumeration System (NPPES).” That…
Comparison between OIG Exclusion List and CMS Preclusion List
Since the CMS Preclusion list was announced in April 2018, and then published in January 2019, there has…
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 paid for…
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…
What is an OIG Exclusion?
OIG Exclusions are powerful enforcement sanctions that bar an individual or entity from any participation in Federal and…