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How to Screen Your Non-Employed Provider Populations

With a growing number of contracted, referring, ordering, and prescribing physicians, you may interact with many providers who aren’t employees of your practice. Although these providers are not subject to your credentialing and privileging process, you are still responsible for verifying that these providers aren’t excluded at a state or federal level from providing services….

Why Comprehensive Sanctions Screenings Are Important to Healthcare Organizations

While sanctions lists are constantly evolving and expanding, compliance with Health and Human Services (HHS) Office of Inspector General (OIG) standards are also becoming more stringent. This means that ensuring effective and regular screenings is more difficult than ever. A medical sanction can be detrimental to both the excluded individual as well as the affiliated…

An In-Depth Look at The OIG Exclusion List

The OIG Exclusion List is the Foundation of Provider Screening The Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) oversee the reimbursement of health care providers who serve beneficiaries of federally funded programs. The Department of Health and Human Services Office of Inspector General (OIG) maintains and…

What Is the OIG Exclusion List?

Since 1977, the federal government has provided a list of providers who are excluded from receiving payments from the federal government for committing certain violations. In its current form, this database is known as the List of Excluded Individuals/Entities (LEIE) and is managed by the Office of the Inspector General (OIG) at Health and Human…