CMS open payments | OIG exclusion list | Monthly OIG screen

There are many concerns that any healthcare organization has to face; patient care, staffing and billing to name a few. However, there is one thing that will cost you a fortune if not taken care of, it could destroy your company's reputation as well; the process of checking all of your new hires or those who you conduct business with. This type of check is referred to as sanctions checks or exclusion screening. Although this may sound heavy and legal in connotation, the concept itself is really quite simple and can be thought of the same way you think of a "No Fly List."  This guide will provide everything you need to know regarding these types of screening processes including, what they are and why they are important, as well as how to successfully conduct them without added stress to yourself or your organization. What is Exclusion Screening? At the national level, the Office of Inspector General (OIG) keeps records on individuals and entities that can't participa...

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...

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...