Navigation Links
Highlights from ProviderTrust: OIG Special Advisory Bulletin Provides Guidance on Required Health Care Provider OIG Exclusion List Searches for Individuals and Entities
Date:5/9/2013

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 http://www.providertrust.com, or call us at 615-938-7878.

Read the full story at http://www.prweb.com/releases/2013/5/prweb10713869.htm.


'/>"/>
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:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... 25, 2016 , ... Conventional wisdom preaches the benefits of moderation, whether it’s ... setting the bar too high can result in disappointment, perhaps even self-loathing. However, those ... goal. , Research from PsychTests.com reveals that behind the tendency to ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was out ... family verbally and physically. , “When something upset him, he couldn’t control his emotions,” remembers ... would throw rocks at my other children and say he was going to kill them. ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San ... Society and the Road To Recovery® program to drive cancer patients to and from ... adults to ensure the highest quality of life and ongoing independence. Getting to ...
(Date:6/24/2016)... New York, NY (PRWEB) , ... June 24, ... ... lifestyle publication Haute Living, is proud to recognize Dr. Barry M. Weintraub as ... believes that “the most beautiful women in the world, and the most handsome ...
(Date:6/24/2016)... ... ... Venture Construction Group (VCG) sponsors Luke’s Wings 5th Annual ... Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. The event raised funds ... been wounded in battle and their families. Venture Construction Group is a 2016 Silver ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... June 23, 2016 Research and ... Excipients Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), ... Topical, Coating, Parenteral) - Global Forecast to 2021" ... The global pharmaceutical excipients market is projected ... CAGR of 6.1% in the forecast period 2016 to ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... "Global MEMS Devices Medical Market Analysis 2016 - Forecast to ... The report contains up to date financial ... reliable analysis. Assessment of major trends with potential impact on ... dive analysis of market segmentation which comprises of sub markets, ...
(Date:6/23/2016)... 2016 Bracket , a leading clinical trial ... clinical outcomes platform, Bracket eCOA (SM) 6.0, at the ... – 30, 2016 in Philadelphia , Pennsylvania.  ... Assessment product of its kind to fully integrate with RTSM, ... eCOA 6.0 is a flexible platform for electronic clinical outcomes ...
Breaking Medicine Technology: