OIG Exclusion: What If You’re On The List?

Have you ever isolated/ faced a disciplinary action against your professional license?

Have you ever been terminated from the federal Medicare Program? If yes, then I must say, you have landed exactly on the right page.

As we know, Office of Inspector General (OIG) excludes certain providers from participation in federal healthcare programs in order to eliminate fraud, waste, abuse and to protect patients in federal healthcare programs.HealthcareSanction Screening is an essential need for every healthcare organization as well as for healthcare professionals. Hiring a reliable Healthcare Sanction Screening source like Exclusion Screening helps healthcare companies in smooth functioning.

Today, we are going to discuss what you should do if you’re on the list. Stick to us and keep reading:

1.      First, Check the List

2.      Collateral Consequences to OIG Exclusion or Termination

3.      You’re On the List, Now What?

Let’s dig in!

1.    First, Check the List: the very first step involves if you are on the federal government’s List of Excluded Individuals and Entities (LEIE) is to check the list.

2.   Collateral Consequences to OIG Exclusion or Termination: Generally,Termination or exclusion can have many collateral consequences. Most surprisingly, health care professionals and providers are not even aware of it. These include:

·         Alienated from the provider panels of health insurers.

·         Suspension for cause from all state Medicaid Programs.

·    No permission to contract or work for any individual or entity those contracts with the Medicare Program in any capacity. It includes physicians, medical groups, hospitals, healthcare systems, ambulatory surgical centers, skilled nursing facilities, health insurance companies, etc.

·     No allowance to contract or work for any individual or entity that contracts with the federal government in any capacity.

·       Termination of state professional licenses in other states and jurisdictions.

·  Termination of hospital, ambulatory surgical center (ASC), and nursing home clinical privileges.

3.      You’re On the List, Now What?

So, you got to see your name on a state’s excluded or terminated list or on the federal LEIE? Wait, don’t panic much. Take a deep breath. Everything is not lost yet. There are some ways to become reinstated.

Never try to handle removal without qualified assistance. Ask an expert for the advice and suggestions and perform all the necessary documentation processes under his/ her supervision.

The OIG Exclusion List Search requires experience and perseverance to navigate making it a complicated regulatory program.

You may be barred from reapplying for one full calendar year if your application gets rejected in NewYork OIG Exclusion Search.

Make sure your application is complete and correct, and you are fully eligible for removal. For any kind of OIG Exclusion List Searchrelated information, Exclusion Screening is the right destination. Good luck!

9 Reasons Why Pre-transactional OIG Exclusion Checking is Essential

Todd Rudsenske, Cain Brothers managing director once said, “Compliance is actually the reason most deals don’t get done”.

As we already know, List of Excluded Individuals and Entities (LEIE) contain almost 70,000 excluded individuals and entities and are updated monthly by OIG. Without proper OIG Exclusion Check, the company can face civil monetary fines and penalties in the hundreds of thousands of dollars if an organization hires or contracts with an excluded individual or entity.

But you know what the best part people admire the most? These fines are 100% avoidable. Before a company look for another or we can say acquires another, a prudent pre-transactional due diligence item should include a search list of each and every existing employee, third party contractors and supplier/entities for OIG exclusions.

Below are the OIG Exclusion audit demonstrated key points:

     • A purchaser can save its liability, fines, and bad publicity if there is regular provision to conduct OIG exclusion and license verifications

     • To ensure that all employees and vendors have current licenses and are not excluded or debarred, the seller should hold Representation and Warranty

Below are the top 9 reasons why Pre-transactional OIG Exclusion Checking is Essential:

      • The employer is listed for any actions or bills submitted by an excluded individual or entity.

      • A stock purchase includes assuming pre-existing liabilities.

     • Standard of liability lies in “Knew or should have known”. The OIG database is available for searching purposes.

      • You will have to go after the reserve for any undisclosed fines related to the exclusion in case any reps and warranties are made.

      • No matter if you are purchasing assets only; the OIG will still hold the employer liable for the fines.

      • up to six years from the event, fines can be made

   • To conduct appropriate background checks and one that especially includes OIG exclusion searches, it is one of the best practices known.

      • OIG Background Check is one of the effective pre-transaction due diligence just like other lists that have to be checked in order to assure that your client is         buying a lawfully run and compliant company.

   • It is one of the best measures to OIG Exclusion Check and thus results into appropriate background checks

‘Exclusion Screening’ understands your businesses, overall requirements and knows the law! If you want to get the screening done without any hassle, contact us now!

OIG Exclusion List Services and Screening‎

Exclusion Screening provide the best OIG Exclusion List Screening‎ and OIG Exclusion List Services. If you really want to that any types of exclusion sreening related service then you have a good place of Exclusion Screening. We provide  inexpensive solution to the complex problems associated with screening.

Reasons why The OIG Exclusion List is Not Getting All State Exclusion Records

We all are well aware of the concept of What Is Exclusion Screening and their types. But, still there are some limitations out there. Like? Well, there is a lot of incomplete data is there on the OIG Exclusion List (LEIE). There are a number of reasons behind this. Some are simple whereas others are complex. The simple of them includes the typographical errors.

And some reasons are there because many State Medicaid offices is not even concern to report required information even when they are supposed to do as they are obligated under law.

This does not only affect the effectiveness of the OIG LEIE exclusion list but also fails in preventing unnecessary expense in the Medicare and Medicaid system.

Hence, it is clear that OIG LEIE is not getting all state exclusion records. Some of the typical reporting failures are depicted below:

• Untimely Reporting
• Finding Errors in Reporting
•  Finding a Path to Accuracy

Let’s dig in!

Untimely Reporting:

One state regulation should be applied to other states, according to 2011 ACA’s (Affordable Care Act) section 6501 regulations. In such case, a reliable resource with excluded individuals from all states is required by all the health organizations.

According to rule, State Medicaid offices were supposed to report the resource to OIG LEIE in a timely manner. But sadly, state Medicaid programs are failing in submitting the reports timely and even some of them are just fail to report anything at all.

Finding Errors in Reporting:

According to a report of 2015 OIG report, about 12 percent of providers who were reported as terminated for cause from State Medicaid programs continued participating in Medicaid in other States. From the year 2011 to 2014, the cost of participation by excluded providers was more than $7 million paid to 94 providers who were terminated for cause.

It was also observed that some names that qualified for listing on the exclusion list were not submitted.

Finding a Path to Accuracy

Well, it’s high time to let your exclusion screening and verification done. I know investigating on a large scale is quite difficult though but I have got the way. Get your Pennsylvania State Exclusion Search by Exclusion Screening, LLC.

With over 50 years of experience, we are always there to help you out. Don’t let this happen, contact now! Being a known face of the industry, “Exclusion Screening” is serving many reputed firms and helping them with the best exclusion search results for smooth business process.

Background Check Requires OIG Exclusion Monthly Monitoring

As we already know OIG Exclusion Check (Office of Inspector General) is essential to screen a healthcare employee or third party vendor properly. It includes List of Excluded Individuals and Entities (LEIE). But the main question of which we are really concern about is how often should a healthcare organization even cares to go for exclusion list after setting up the contract with the third party or vendor?

Today, we are going to discuss the following major topics related to how frequent should an organization go for OIG Background Check. Note it down away!

• How often should we go for OIG Exclusion List check?
• Health Employer Risks From OIG LEIE Gaps

Let’s grasp the concept now:

How often should we go for OIG Exclusion List check?

It is mandatory and best to organize pre-employment background check for all potential employees which would include a check of OIG exclusion list. For every employer or healthcare organization, the exclusion list was designed to be the single place to go to conduct OIG exclusion checks. OIG maintains the LEIE and thus works to update this list at least monthly.

Established in 1977, LEIE was developed to hold all exclusions issued by OIG and states. But surprisingly, according to audit in 2011 of 2008 OIG LEIE data, 61% of existing state Medicaid exclusions was missing up to OIG exclusion list. Sadly, it is even continued today!

Health Employer Risks From OIG LEIE Gaps

Do you know? It was over 67,750 excluded individuals and entities on OIG LEIE, in the second quarter of 2017. Furthermore, 61,500+ State Medicaid exclusions were also there in the row. If you are not including all 40 states Medicaid exclusion lists in your monthly exclusion monitoring, being a healthcare organization then trust me, you are simply putting it on a lot of risk exposure.

The best solution includes to conduct monthly OIG exclusion monitoring of all staff, vendors and to monitor Medicaid exclusion lists as well.

Time to sum up:

So, these were the reasons to support the fact why you should go for monthly OIG exclusion checks. Are you looking for best and quick screening solutions? If yes, “Exclusion Screening”, LLC is the perfect place for you. We provide quick and inexpensive solution to all your complex screening problems. We make sure through our process that that none of your employees etc have been excluded from the LEIE.

Feel free to visit https://www.exclusionscreening.com/ and see their specialties.