What You Must Know About OIG Exclusion List?

What is OIG exclusion list?

The OIG (Office of Inspector General) List offers details to the health care industry and also to the public regarding individuals and entities that are excluded from participating in any Medicare or any other Federal Health Care programs. OIG Exclusion SearchSoftware is being used by many reputed organizations to make sure that they are dealing with right source.

What are the different types of OIG exclusions?

Broadly speaking, there are two types of OIG exclusions:

1. Mandatory Exclusions – are put as penalties for health care fraud or crime or illegal distribution of controlled substances.
2. Permissive Exclusions – are meted out as penalties under sixteen authorities and is put due to loss of state license to practice or failure to repay student loans or any other misdemeanors.

How often should employers screen excluded individuals?

Screening for excluded individuals is a must for any healthcare provider as it may result in monetary penalties, payment bans, and the company can be excluded as well. Seeing the importance of this screening, it is advised that the healthcare providers conduct the OIG Exclusion List Screening as often as possible.

 It is a good practice to conduct the New York OIG ExclusionSearch on a monthly basis as the OIG updates the LEIE (List of Excluded Individuals and Entities) on a monthly basis. Doing so will also cut the added cost and effort of conducting screenings at random.

Apart from the LEIE, there are various other federal and state level exclusion lists managed by different states. It is possible that the names present in the state list are not present in the federal list and vice versa. You must screen all the lists to avoid monetary loss.

What happens if an excluded person or entity submits a claim?

The following financial penalties are applied if an excluded person or entity submits a claim:

-          He or she may be subjected to CMP of 10, 000 dollar for each claimed item or service

-          He or she may be subjected to an assessment of up to 3 times the amount claimed.

-          He or she may be civilly liable under the False Claims Act for presenting a fraudulent claim for payment.

Exclusion Screening, LLC has been serving this industry for years and we help organizations in exclusion screening with ease. We can do exclusion screening and verification to know if any of your employee, vendor or contractor have ever been excluded from the state exclusion database.

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All You Need to Know About Healthcare Sanctions screening

What is Healthcare sanction screening?

The Healthcare Sanction Screening helps the health care organisations maintain compliance by identifying employees and contractors who have been sanctioned or excluded from participating in any federal or state health care programs.

For instance, specially designated nationals, terrorists, narcotics traffickers, blocked persons and vessels are forbidden from participating in any federal or state health care programs.

The Health Care Sanctions check comprise of a search in a registry of disciplinary actions taken by federal or state boards and certification agencies. The results may include debarments, exclusions and letters of reprimand.

What is OIG exclusion search?

The OIG exclusion list is maintained for listing all the persons and entities that have been excluded from participating in any Medicare program. This list has the names of all the persons who are excluded from the program by the OIG and is updated every month.

This list will not have names of persons or entities on other exclusion lists if, for example, the info was never forwarded to it, or if the basis of exclusion was insufficient to support one from the LEIE.

How often should you check the OIG exclusion list and why?

The OIG exclusion list checks are performed prior to employment and on at least a monthly basis after. The names are added and removed on a daily basis, so it is advised that you check the list every month.

What does an OIG Exclusion Search Software do?

An OIG Exclusion Search Software searches the exclusion list in a fast, effective and economical manner. The OIG Exclusion Search Software enables huge efficiencies and in most of the cases it eliminates the need for paper record archives.

You just have to upload the list of employees and contractors and then the software checks these values for newly added excluded parties each month.

If the software finds a false positive match, the software will remember it so that you need not review it month after month. The OIG Exclusion Search Software is the smartest way to perform exclusion list searches.

Exclusion Screening LLCis one of the most trusted sources for HealthcareSanction Screening. SAFER is one of the most comprehensive exclusion databases around, and with it, you are sure to miss not even a single update to all exclusion lists.

Choosing Exclusion Screening LLC can be one of the best decisions one can talk to be on safer side regarding background check and you can run your business without a hitch.

OIG Exclusion List Services

OIG Exclusion List Services is a department in the US federal government that is responsible for combating health care and Medicaid fraud at Exclusion Screening. We have well educated and experianced person available for us.