Articles by Paul
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The Definitive Guide to OIG Exclusions
Read more: The Definitive Guide to OIG ExclusionsKey Takeaways An OIG exclusion is a final administrative action that bars an individual or entity from all participation in…
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Interactive Guide To State Medicaid Exclusion Lists
Read more: Interactive Guide To State Medicaid Exclusion ListsThe 44 state Medicaid exclusion lists — each state’s program name, issuing agency, file format, and the screening obligations providers…
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Exclusions can be Devastating for Small Practices
Read more: Exclusions can be Devastating for Small PracticesExclusions from participation in federal and state healthcare programs represent a significant and often devastating threat to healthcare providers, especially…
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What Does It Mean To Be On An Exclusion List?
Read more: What Does It Mean To Be On An Exclusion List?Being on an exclusion list means that an individual or entity has been barred from participating in a sponsored benefit…
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How Providers Can Check OIG Exclusions on Their Own
Read more: How Providers Can Check OIG Exclusions on Their OwnThis guide helps ensure compliance by verifying that individuals and entities are not excluded from participation in federal healthcare programs…
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Top 5 Challenges in Exclusion Monitoring and How to Solve Them
Read more: Top 5 Challenges in Exclusion Monitoring and How to Solve ThemExclusion monitoring is a mandatory and complex compliance function critical to minimizing liability risks for healthcare providers. The difficulty inherent…
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What to Do If You Have a Confirmed Exclusion
Read more: What to Do If You Have a Confirmed ExclusionFinding out that an employee, vendor, contractor, or volunteer has a confirmed exclusion is a serious compliance emergency. Since Federal…
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Practices Need Hotlines in Their Compliance Program
Read more: Practices Need Hotlines in Their Compliance ProgramThe OIG’s November 2023 Compliance Guidance The OIG’s November 2023 Compliance Guidance lists 7 elements of an effective compliance program.…
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A Provider’s Guide to New York Medicaid Exclusion Screening
Read more: A Provider’s Guide to New York Medicaid Exclusion ScreeningThis article focuses on helping providers understand New York Medicaid exclusion screening law, and its exclusion screening requirements so that…
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A Provider’s Guide to Alabama Medicaid Exclusion Screening
Read more: A Provider’s Guide to Alabama Medicaid Exclusion ScreeningThis short question and answer summary will help providers understand and comply Alabama’s exclusion and sanction screening rules and regulations.

