Should Medicare and Medicaid Providers and Suppliers Screen Against the OFAC Sanction List?
One question that is regularly asked by Exclusion Screening clients is whether a health care provider or supplier…
Tag Exclusion
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Interactive Guide To State Medicaid Exclusion Lists
The 44 state Medicaid exclusion lists — each state's program name, issuing agency, file format, and the screening obligations providers have to meet. By former DOJ Health Care Fraud Coordinator Paul Weidenfeld.
A Provider’s Guide to Washington State Medicaid
This guide is intended to assist Apple Health providers on exclusion and sanction screening obligations for anyone whose role could affect Medicaid billings or deliverables — clinical and non-clinical — and describes how to screen, document, remediate, and report matches.
Who Can Request An Exclusion Waiver?
Authorized Requester Only the administrator of a Federal or state health care program (e.g., Medicare or Medicaid director)…
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…
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…
What to Do If You Have a Confirmed Exclusion
Finding out that an employee, vendor, contractor, or volunteer has a confirmed exclusion is a serious compliance emergency.…
A Provider’s Guide to New York Medicaid Exclusion Screening
This article focuses on helping providers understand New York Medicaid exclusion screening law, and its exclusion screening requirements so that they can avoid the risks associated with employing or doing business with excluded parties.