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Proper Certification Deemed as Important as Healthcare License Status

How important is it to make certain your billing staff is properly trained and certified (ie.CPR, ACLS, CPC and RHIT certifications current)?  Very important. If you are like most healthcare organization you will have internal requirement policies for each department. The purpose of these requirement policies are to ensure that employees are properly trained, certified, licensed and/or maintain sufficient continuting education and training.  Without these minimum documentation, your organization is open to potential litigation, inconsistencies and possible accreditation issues in concern with the healthcare license. 

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Does Employer need Employee Permission to Monitor for OIG Exclusions?

Employers have an initial Release and Authorization to conduct a pre-employment background check upon hire.  A proper Release will contain additional language that allows the employer to conduct additional searches "during the scope of the employee's tenure" with the company.  The employer is allowed to conduct additional searches without obtaining a new release in the event of a substantiated inquiry into fraud or other illegal activity.

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