The Ultimate Guide To Exclusions

The OIG or Office of Inspector General is basically a system of safeguards in healthcare for the Health and Human Services (HHS). The OIG Exclusion Check is a governing agent that finds, eliminates and punishes fraud and abuse violators.

What is considered grounds for exclusion?

The OIG exclusion list services are divided into two categories:

1.     Mandatory exclusions exclude individuals from participating in all the Federal Health care programs. This is levied in case of Medicaid fraud, patient neglect, or other financial misconduct, etc.

2.     Permissive exclusions exclude entities for reasons such as health care fraud, unlawful manufacture, or dispensing of controlled substances, and more.

How often should exclusion checks be done?

The Office of Inspector General suggests that the exclusion checks be performed prior to employment and on at least a monthly basis after. You must note that the individuals and entities are added and removed from the OIG exclusion list on a daily basis.

There are various software that offer automated initial verification and monitoring with notifications so as to reduce the time and human error associated with completing checks of the exclusion list.

How to get off the OIG exclusion list?

Getting your name on the OIG Exclusion Check List can have serious repercussions on your career and employment of a licensed health professional. But the good news is that the exclusions are temporary and OIG reinstatement is possible.

If your name is on the OIG exclusion list, you have to apply for the reinstatement 90 days before the expiration of the exclusion period. Just follow the steps mentioned below for the OIG reinstatement.

1.    First of all, you have to send a written request to the OIG at the address mentioned below:

HHS, OIG, OI

Attn: Exclusions

P.O. Box 23871

Washington, DC 20026

2.    After that, you will have to complete the Statement and authorization forms provided by OIG after receiving your request.

3.    Now, just submit the statements and authorization forms back to the above-mentioned address.

4.    Wait for around 120 days for your request to get the approval.

Keep in mind that the reinstatement process is not an automatic process. If your name is on the list, you will have to request for the reinstatement once the specified period of exclusion is over.

What is the most efficient way to search the List of Excluded Individuals/Entities?

You can search the Online Searchable Database for looking up for individuals or entities. The list is updated on a monthly basis and it includes all the actions taken during the prior month. It is therefore advised that you check the OIG exclusion list on a monthly basis to check for any inclusion and omission.

Where to head for best OIG Exclusion Check?

Exclusion Screening LLC is one of the best and most trustworthy sources for exclusion check. They are in this industry for years and can be relied on completely. Many reputed organizations are their clients.

Read More:- https://exclusionscreening.wordpress.com/2019/04/15/the-ultimate-guide-to-exclusions/