Healthcare Exclusion Sources: What You Need to Know

When it comes to exclusion monitoring, there are a myriad of lists that need to be monitored, both at the federal and state levels to ensure that your patients are only seen by eligible providers. In this post, we will provide an overview of all healthcare exclusion sources and a few other eligibility-affecting databases.

OIG Exclusion List Monitoring: What You Need to Know

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If you’re looking for an introduction or refresher of the HHS Office of Inspector General (OIG) Exclusion Program and the process of screening your population for exclusions, you’ve come to the right place. In this post, we explain the basics of OIG exclusions and exclusion list monitoring.

How Smarter Exclusion Monitoring Contributes to Safer Care

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In this webinar, we’ll explore how smarter OIG and State Medicaid exclusion monitoring can result in a safer healthcare experience for everyone. Learn how your organization can better protect some of healthcare’s most vulnerable patient populations and connect compliance monitoring success back to patients.

Compliance Monitoring Checklist

January 2019 Workplan

How often does your organization check your healthcare populations for exclusions? How often do you verify the statuses of license and certifications? What primary sources are your teams checking to ensure ongoing audit-readiness? Evaluate your organization’s monitoring practices with our handy checklist.

Data Enrichment of OIG Exclusion Lists Prompts Dismissed Investigation

OIG Exclusion List Reinstatement

OIG exclusion list monitoring is critical for healthcare organizations. But sometimes, excluded providers can go undetected for years. In this post, we explore how our data enrichment strategy caught a previously undetected exclusion that impressed the OIG enough for them to drop an investigation against our client.