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…
This short question and answer summary will help providers understand and comply Alabama’s exclusion and sanction screening rules and regulations.
Exclusions and debarments are powerful administrative sanctions imposed by Federal and State agencies. They are intended to protect…
[1] The Office of Inspector General (OIG) has steadily increased its enforcement of OIG Exclusion Screening violations since the…
Our experts at Exclusion Screening, LLC maintain fact sheets that contain the screening requirements for providers in every…
