Navigation Links
Highlights from ProviderTrust: OIG Special Advisory Bulletin Provides Guidance on Required Health Care Provider OIG Exclusion List Searches for Individuals and Entities

Washington, DC (PRWEB) May 09, 2013

Highlights from the Special Advisory Bulletin include:

1. The Special Advisory Bulletin indicates that providers should check the OIG List of Excluded Individuals and Entities (LEIE) upon hire and periodically for employees and contractors. The OIG notes that there is no statutory requirement to search the LEIE exclusion list, but that the OIG updates the LEIE exclusion list monthly "so screening employees and contractors each month best minimizes potential overpayment and Civil and Monetary Fines".

2. The Advisory recommends that Providers review job descriptions, categories of care, and contractual relationships to determine whether an item or service being provided is "directly or indirectly, in whole or in part, payable by a Federal health care program. If the answer is yes, the best mechanism for limiting CMP liability is to screen all persons that perform under that contract or that are in that job category".

3. The Special Advisory Bulletin explains that no Federal health care program payment can be made for items or services beyond patient care, and includes those for administrative, transportation, filling prescriptions, inputting prescription information, preparation of surgical trays or reviewing treatment plans, regardless of whether such services are separately billed or are included in bundled payment.

4. The Special Advisory Bulletin explains that the prohibition for payment applies to administrators such as executives, human resources, information technology, accounting, general counsel and office managers who are on the OIG exclusion list.

5. The Special Advisory Bulletin advises that a hospital contracting with a staffing agency is required to ensure that the staffing agency has conducted OIG LEIE exclusion list searches on such staff. Guidance is provided that the hospital can reduce civil and money penalties (CMPs) if it can demonstrate that it reasonably relied on the staffing agency to perform OIG LEIE exclusion list checks on all agency providers regularly and recommends that the provider obtain supporting documentation. The hospital is responsible for civil and money penalties if the hospital does not ensure proper OIG exclusion list checks are performed regularly.

NOTE: The Advisory indicates that the OIG will be adding NPI data for individuals and entities excluded after 2009 if they have an NPI and will include information regarding waivers of exclusion granted by the OIG. This will allow for an additional verification mechanism separate from the SSN or Tax ID.

If you have any questions or would like to review your OIG exclusion list compliance program, please contact us at, or call us at 615-938-7878.

Read the full story at

Source: PRWeb
Copyright©2012 Vocus, Inc.
All rights reserved

Related medicine news :

1. NBC’s highlights NYS Assemblyman - Kearns says cuts to disabled are personal
2. For Mother's Day, Pulmonary Hypertension Association Highlights Moms Juggling Parenting and Their Own Serious Lung Disease
3. Flavor Your Life Highlights the Importance of Taste in Italian Olive Oil
4. Medical System Marketing Highlights Nationally-Recognized Stroke Care
5. Teens Death From Chickenpox Highlights Need for Vaccination, CDC Reports
6. Muscular Development Magazine Highlights Rice Protein Benefits for Vegetarian Bodybuilders
7. Life with Teens Magazine Highlights the Steps to Prevent Teen Concussions
8. Study highlights variations in spinal component costs
9. Highlights from the March GIE: Gastrointestinal Endoscopy special issue on colorectal cancer
10. Highlights on women, minorities and persons with disabilities in science and engineering
11. Eldon James Highlights Eco-Friendly Tubing and Fitting Assemblies at MedTec Europe
Post Your Comments:
(Date:11/30/2015)... ... November 30, 2015 , ... Newly reviewed and approved “NJ ... graduated from Tufts School of Dental Medicine in 1935. His father graduated from ... family being in dentistry as well as their commitment and passion to the Practice ...
(Date:11/30/2015)... ... November 30, 2015 , ... The ... National Poison Data System (NPDS) reveals that in 2014, someone called a poison ... over two million of which were human exposure cases. , The American Association ...
(Date:11/30/2015)... ... , ... Two years ago, Debbie Gregory, the CEO of, found herself ... Meditation (TM). After encouraging a number of veterans to go through the program, ... the talk. , TM is becoming one of the best alternative treatments for Post-Traumatic ...
(Date:11/30/2015)... ... ... The American Society for Clinical Pathology (ASCP) announced today that it has launched ... ASCP shared its “Give a minute. Get tested. Find a cure.” icon and infographic ... tested for HIV. , ASCP has asked members to replace their Facebook, Twitter, or ...
(Date:11/30/2015)... Beach, FL (PRWEB) , ... November 30, 2015 ... ... of Consumer Reports magazine, quoted Michael Hansen, Ph.D., a senior scientist at Consumer ... and even more so for a child’s exposure limits. , The original Nov ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... REHOVOT, Israel , Nov. 30, 2015 ... focused on acquiring and developing innovative therapies for ear, ... of Keith A. Katkin as chairman of ... Flesher , chief executive officer for OticPharma, Ltd.  "Keith ... As chairman, he will be able to share this ...
(Date:11/29/2015)...  Strengthening its leadership in connected healthcare informatics, ... IntelliSpace Portal 8.0 , the latest edition of ... helps radiologists detect, diagnose and follow-up on treatment of ... North America Annual Meeting (RSNA) in ... the changing demands in radiology that result from an ...
(Date:11/29/2015)... GE Health Cloud 1 was unveiled today at the ... America (RSNA) meeting in Chicago ... ecosystem and its applications will connect radiologists and clinicians to ... – both inside and outside the hospital setting. ... the digital industrial leader, we are betting big on the ...
Breaking Medicine Technology: