CMS open payments | OIG exclusion list | Monthly OIG screen

Healthcare organizations in the United States must follow strict compliance regulations to protect patients, maintain trust, and remain eligible for federal healthcare programs. One of the most important compliance practices is OIG Screening and Exclusion Screening . Whether you operate a hospital, physician practice, pharmacy, laboratory, home healthcare agency, or healthcare staffing company, regularly screening employees, contractors, and vendors is essential. Failing to identify an excluded individual or entity can result in financial penalties, repayment obligations, and regulatory action. This is where Venops helps healthcare organizations simplify compliance. Venops offers automated OIG Screening , Exclusion Screening , Vendor Screening , Sanction Checks , License Monitoring , and CMS Open Payments Monitoring . These solutions help organizations reduce compliance risks, improve efficiency, and stay audit-ready. In this guide, we'll explain everything you need to know ab...

Healthcare compliance is complicated. It's almost as if we're trying to solve a giant jigsaw puzzle where the parts are constantly changing. Two of the largest pieces of the puzzle involve staff exclusion screening and financial transparency.   First, let's take a closer look at the concepts of exclusion screening, the lists associated with screening, and the CMS open payment data to determine how they can be explained or defined in simpler terms. The Reality of Exclusion Screening Exclusion Screening is when you check to see if your employees and vendors have been excluded from working in the healthcare field through any of the Federal lists. However, to comply fully with the law, you need to check many more sources of information than just the Federal lists. You can't just check one database to make sure someone is not excluded from working in the healthcare field. You need to check the OIG Exclusions List , SAM.gov (System for Award Management) and numerous state Me...

Trust is a huge part of both operating a business and managing a healthcare facility. You have trust that your employees are performing their jobs correctly. In addition, you trust your vendors to provide high-quality products. On the other hand, if you have an unreasonable level of trust and do not screen companies to do business with, you might be surprised if you hired a contractor that was banned from your industry or a vendor with a history of stealing from their customers. The purpose of exclusion screening and vendor screening is to prevent surprises like this from happening. These concepts may sound like legal jargon, but they are actually just simple safety procedures or safety measures, such as locking your home at night. What is Exclusion Screening ?  First, let’s talk about what an exclusion screening is. In almost every industry, federal/state governments produce an ‘exclusion list’ of individuals and organizations who have been excluded (banned) from taking part in fe...

    The healthcare industry has many regulations that require compliance from both the healthcare provider as well as those providing services associated with the provision of healthcare. These regulations require compliance with Federal Privacy Laws as well as accurate billing by submitting the proper code. While the above-mentioned examples represent a significant amount of information, when working in healthcare, the one most important item that needs to be addressed is the exclusions screening process.   Exclusion Screening sounds like complicated legalese, but really it just means you want to ensure that the people that you hire are qualified to work with any federal healthcare programs. Let’s break down what OIG Exclusion is, and why OIG screening is important, and how to use the Exclusion List OIG to protect your company. The Office of Inspector General (OIG), the HHS’ “health police”, investigates and enforces violations of state and federal law in accordance wi...

Bringing new employees into an organization brings plenty of excitement and opportunity for any type of organization but especially one associated with health care. As an organization expands its workforce, you will have the opportunity to serve many more patients or customers than before! However, finding the right employee for your organization is also a big responsibility. Finding the right person isn’t only about verifying educational qualifications and work experience; it’s also about verifying that the person you are considering can legally work in your field. Exclusion screening are one of the ways in which organizations like yours conduct thorough due diligence regarding potential hires; however, they do not require a great deal of technical knowledge to implement and maintain! Exclusion screening are simply a precautionary measure taken by your organization to protect itself, its resources, and its reputation. An exclusion screening is done by going through the list of prohib...

When bringing on a new employee, having a resume, and calling references, is not enough to hire someone in the healthcare industry. Government programs such as Medicare and Medicaid provide the majority of funding for the healthcare industry; this creates many rules for who can work in the industry. When managing a medical practice or healthcare organization, you must protect your business by knowing everything there is to know about compliance and regulations. This includes understanding the Office of Inspector General's role with regard to compliance and financial transparency. To help you understand compliance with the Office of Inspector General (OIG), we provide information about OIG checks, OIG screenings, OIG excluded individuals, and CMS Open Payments. What is an OIG Check? An OIG check is a procedure used to verify if a prospective or current worker is listed on the Office of Inspector General's (OIG) List of Excluded Individuals Entities. The OIG is part of the Depar...