Every year, many healthcare organizations and facilities face massive Civil Monetary Penalties (CMPs) due to the failure to detect OIG exclusion. It has been unavoidable for many years, even with several precautions and safety measures, because no matter how fluent, human error is common. However, with advances in technology and algorithms, the detection of checks […]
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Within the healthcare sector, one term holds immense power: the OIG exclusion List. The list is a database published by the Office of Inspector General (OIG) that identifies individuals or organizations. Those are not permitted to participate in federal healthcare programs, including Medicare and Medicaid. In addition, the implications of being on this list are […]
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The healthcare organization deals with complex matters on a daily basis, and compliance checks are among them. Just to be safe, secure, and protected, the healthcare premises need to consistently and critically maintain OIG exclusion as a priority. Although the providers diligently work to adhere to regulations from HIPAA to the Stark Law. Still, the […]
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Has this ever happened that you’ve just approved a new vendor to join your organization? The next step is always the same: get their W-9 form, but what if that W-9 was hiding a major risk? The W-9 form only confirms their tax details and does not verify that their sanction checks are clear. It […]
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The open payment system is a system designed to bring transparency, accuracy, and accountability to payments. Mainly, CMS open payments are made among hospitals, physicians, healthcare companies, and doctors. Over the past years, the data collection and publication system has accumulated payments totaling almost $77 billion. It counts every paycheck, from small to large, to […]
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The industries are market-handled and maintained by individuals with clear records, and sanctions checks are the key foundation for this. An individual with a criminal or illegal record can never make any organization shine, whether as an employee or a community head. It has been seen that a thriving company one day is facing a […]
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In the healthcare sector, vendors and the quality of the healthcare organization’s services are closely related. Having well-qualified vendors offers on-time delivery of crucial services, accurate test results, and ensures patient safety. Therefore, organizations must do everything they can to manage their vendors to get the best results and provide the best services to their […]
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Most healthcare facilities have perfected the process of compliance checks for their own employees by automating the check form exclusions list OIG. Some have even looked at and corrected the loophole involving external vendors, including third parties, and further. However, there is still one external risk that has been hidden or is going unidentified for […]
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A major hospital system with extensive market presence and lifelong expertise in its field passed every audit. However, the lack of an OIG check on subcontractors led to a $2.3 million fine. The subcontractor has an excluded employee, whom the hospital had never heard of before. Yet somehow the liability falls on the hospital, resulting […]
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Most healthcare organizations believe the only significance of screening against the OIG exclusion list is preventing CMPs, financial fines, or legal actions. While it is true that OIG screening offers these benefits, there is one more aspect that is often ignored, which is the hiring process. Screening employees, doctors, vendors, and other service providers against […]
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