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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In vendor screening, most industries still conduct an initial background check but forget to run sanction checks. Thereby, assuming that the screened vendor is completely safe to work with and do business with permanently. However, this is not true because the regulatory landscape is highly volatile, and it leaves you exposed to liability. A vendor […]
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Most healthcare organizations believe and follow the idea that if a vendor isn’t on the federal blacklist. It means they are safe to hire or work with. However, the background checks need to go beyond that, as the standard check should now include CMS open payments. In today’s regulatory environment, avoiding criminal actors is the […]
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An organization, whether in healthcare, finance, or any other sector, is always judged by how it provides services to its customers and clients. For that reason, vendor screening is a critical task that organizations must conduct to ensure smooth operations and long-term survival across industries. Whether it be healthcare, sales, real estate, finance, or tech, […]
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Imagine a hiring manager sees a candidate who was excluded five years ago for a five-year term. The most common response is that the candidate is now safe to hire and okay to work with. However, these fall within the risk zone and expose the hiring organization to liability. The exclusions list OIG doesn’t automatically […]
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Frequent and compulsory vendor screening is a mandatory response for compliance officers within the organization. However, when the screening shows the result of a “green” vendor suddenly turning “red”, it brings chaos and anxiety in compliance officers. The monthly reports hit hard, which have a potential match with a vendor. Although prevention is the organization’s […]
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Most of the organizations in the healthcare sector treated the Sunshine Act as a strict output requirement. However, CMS Open Payments is not limited to a once-a-year checklist to be ticked for public view and financial reporting. Due to the misconception that most companies follow, their teams have to spend months aggregating spend data to […]
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When it comes to compliance checks in the healthcare sector, 90% of the focus is on doctors and nurses. However, exclusion screening of non-medical vendors, such as IT contractors, janitorial services, and staffing agencies, is also crucial. The OIG check does not distinguish between a surgeon, a nurse practitioner, and an IT vendor when all […]
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