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:10/13/2015)... , ... October 13, 2015 , ... ProText Kinetic Panel ... . With ProText Kinetic Panel, users can create energetic text animations in any layout ... into the Final Cut Pro X timeline and stylize the text. With intuitive on-screen ...
(Date:10/13/2015)... ... October 13, 2015 , ... ... of IBM software products, introduced a new company, RightSensor™ LLC, an Internet of ... communications capability. RightSensor™ provides a fully-managed approach for customers requiring sensor hardware ...
(Date:10/13/2015)... Hollywood, CA (PRWEB) , ... October 13, 2015 , ... ... published by Medical New Today on September 18, 2015. The research, which was conducted ... by Dr. Wael Sabbah and colleagues, show connections between stress during pregnancy and future ...
(Date:10/13/2015)... (PRWEB) , ... October 13, 2015 , ... A child ... that’s why SmileCareClub , the leading remote invisible aligner system, has joined with ... would otherwise go without it. For each aligner treatment plan purchased, SmileCareClub will donate ...
(Date:10/13/2015)... Hills, CA (PRWEB) , ... October 13, 2015 ... ... management and workflow solutions, announced today their Title Sponsorship of Synergy 2015. The ... in Henderson, NV at Green Valley Ranch and will unite customers, partners, WennSoft ...
Breaking Medicine News(10 mins):
(Date:10/13/2015)... DUBLIN , Oct. 13 2015 /PRNewswire/ ... announced the addition of the "US ... - 16 Countries (2010-2021)" report to ... has announced the addition of the ... Repair - 16 Countries (2010-2021)" report ...
(Date:10/13/2015)... LAUDERDALE, Fla. , Oct. 13, 2015   ... developer of solutions that aid in the early detection ... has awarded Vigilant,s founder and CEO, Matthew ... the Year Award, which recognizes an entrepreneur who has ... Florida,s life sciences industry in the leadership ...
(Date:10/13/2015)... 13, 2015   Happy Vitals ®, ... home testing kit for breast milk.  The ... an unparalleled, detailed assessment of the nutrition ... carbs and key vitamins—all charted over time ... health tracking.  In addition, Happy Vitals also offers ...
Breaking Medicine Technology: