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.
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.
Authorized Requester Only the administrator of a Federal or state health care program (e.g., Medicare or Medicaid director)…
Being on an exclusion list means that an individual or entity has been barred from participating in a…
Exclusion monitoring is a mandatory and complex compliance function critical to minimizing liability risks for healthcare providers. The…
Finding out that an employee, vendor, contractor, or volunteer has a confirmed exclusion is a serious compliance emergency.…
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.
This short question and answer summary will help providers understand and comply Alabama’s exclusion and sanction screening rules and regulations.
Talk with exclusion screening experts
