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 Guidance: What to Do After You Find a Match
Finding a healthcare exclusion in your organization can be stressful. Here’s our OIG exclusion guidance for what to do next.
HCCA Compliance Institute 2021: Session with the OIG and Donna Thiel, Chief Compliance Officer at ProviderTrust
Donna Thiel, Chief Compliance Officer at ProviderTrust and two OIG officials, Nicole Caucci, Deputy Branch Chief and Joanna Francis, Reviewing Official, led a session on Understanding Exclusions at the virtual 2021 HCCA Annual Compliance Institute.
OIG Exclusion List Monitoring: What You Need to Know
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.
Innovation Alert! Instant to Ongoing Exclusion Screening
We are excited to introduce our newest innovation! Instantly screen new providers for exclusions when they enter your workflow, then add them to ongoing exclusion monitoring for continued peace of mind.
How Smarter Exclusion Monitoring Contributes to Safer Care
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
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 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.
Why Your Low-Quality OIG Exclusion Monitoring is Costing More than You Think
In this post, we’ll explain why the low-quality (and risky!) OIG exclusion matches that you’ll find from other vendors can end up costing your organization.
