CMS open payments | OIG exclusion list | Monthly OIG screen

If you work in the US healthcare industry, you know that patient safety comes first. However, running a medical practice, hospital, or healthcare service isn't just about treating patients; it is also about following the rules set by the government. One of the most critical rules involves knowing exactly who you are hiring and who you are doing business with. This brings us to some very important terms: OIG check , OIG exclusion, and vendor screening. While these might sound like complicated legal terms, they are actually quite simple concepts that keep your business safe and your patients protected. What exactly is the "OIG Exclusion List"? The "OIG" refers to the Office of Inspector General, an agency within the U.S. Department of Health and Human Services (HHS). The OIG's mission is to combat healthcare fraud and abuse in government programs such as Medicare or Medicaid. As part of the OIG's effort to fulfill its mission, it maintains a list of indivi...

Compliance with the law is a must for every healthcare provider. The Exclusions List OIG is one of the best compliance tools available. For hospital administrators, doctors, and staffing agencies alike, it is important to know what constitutes OIG exclusion in order to protect your business from large monetary fines and legal repercussions. What Is the OIG Exclusions List? The Exclusions list is also referred to as the List of Excluded Individuals and Entities (LEIE). It is maintained by the U.S. Department of Health and Human Services; it contains the names of individuals as well as entities who have been excluded from participation in federally funded healthcare programs. This includes Open Federal Health Care programs, such as Medicare and Medicaid. An individual or entity may be placed on the OIG exclusion list for a variety of reasons, including fraud or abuse of patients, problems with licenses, or other types of violations that threaten the integrity of federal healthcare prog...

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...

Today, organizations must abide by several regulations that support fair, safe, and trustworthy systems. Organizations also need to understand who they work with, regardless of whether it is a healthcare organization, a business, or a non-profit entity. To ensure this, you have to know about Sanction Checks, the Exclusions List OIG, and being OIG excluded. Although the use of these words might be complicated, the concept behind them is simple. They exist to assist organizations in determining that they are not employing, compensating, or otherwise collaborating with individuals and/or businesses that are prohibited from participating in specific types of programs or services. What Are Sanction Checks? Sanction Checks allow you to verify whether a person or business is listed on any official government or regulatory body’s Sanction List. A government or regulatory body maintains this list to indicate which individuals or organizations are prohibited from certain activities. In the heal...

In order for people with OIG Check, OIG Excluded, OIG Exclusion, and Exclusions List from the OIG, People may get confused by these terminologies; however, these concepts are very simple in nature and provide an explanation in language the average person will understand about its significance and importance. This blog will help you understand each of them. What Are OIG Checks and OIG Excluded? OIG Checks are the primary way that healthcare organizations verify that someone has the right to provide services through government-funded healthcare programs such as Medicare and Medicaid. The OIG is the Office of Inspector General and is a government agency that oversees the investigation of healthcare fraud and abuse. Healthcare providers typically conduct the OIG Check before hiring employees, onboarding new physicians, or entering into vendor agreements. They may also periodically perform the OIG checks throughout the life of a business to ensure that they continue to operate according t...