Category: OIG Screening

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 […]

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 […]

After the COVID-19 pandemic, a shift in healthcare facilities to a digital model has rapidly occurred. However, it has major benefits, such as easy accessibility to health benefits for people residing in remote areas. But it also has some restrictions and constraints, especially when it comes to the exclusion screening. Telehealth has made it easier […]

One common mistake in the hiring process is treating a candidate with over 5 years of experience as hireable to HR. When it comes to exclusion screening, the healthcare sector has been highly vigilant to avoid hiring any entity on the OIG excluded list. But over time, when a candidate reaches the 5-year mark, HR […]

Compliance checks are essential, and by now, healthcare, finance, and other high-risk organizations have understood this. Although there is still one topic that causes confusion and leads to discussions in boardrooms: how often exclusions screening should be conducted. The OIG (Office of Inspector General) updates its list on a monthly basis, but the healthcare workforce […]

The healthcare industry runs on the utmost trust patients have in the organization or the people working there to run it smoothly. Therefore, CMS open payments are introduced, and the Centers for Medicare & Medicaid Services ensure the reliability of it. Thereby, accountability for financial records is established. Historically, the financial relationships between healthcare providers […]

Efficient and safe services in the healthcare sector require regular exclusions screening of people and entities that organizations hire or work with. These screenings identify banned entities that the federal government has banned from participating in Medicaid and Medicare facilities. With the help of this list, any healthcare facility can prevent working with or paying […]

Exclusion screening protects healthcare organizations from working with parties that are not fit to work with. They may have a criminal history or be involved in federal or Medicaid fraud. Working with or associating with such individuals or entities puts healthcare organizations at high risk of financial and reputational losses. Exclusion screening helps protect you […]

Strict regulatory compliance laws require healthcare providers and organizations to ensure patient safety and deliver superior care. Healthcare vendors and service providers are also subject to these compliance regulations. This is because they supply drugs, medication, and other critical services to the organizations, directly affecting the quality of their services and treatment. Therefore, accurate vendor […]

CMS, or the Centers for Medicare & Medicaid Services, uses the open payments program to ensure financial transparency in the healthcare industry. It publicly discloses financial transactions and transfers of value of any kind made by drug and medical device companies to physicians, nurses, and other covered recipients. CMS Open Payments offers financial transparency, which […]