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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

OIG Exclusion List, OIG, OIG Exclusion

The OIG Exclusion List Reinstatement Process

Posted by Michael Rosen, ESQ on Tue, Jun 20, 2017

Did you know that according to the OIG, when your exclusion is “over” not everyone is automatically “cleared” at the end of the exclusion period? Instead, the provider must apply through the OIG for reinstatement. Many times, this assumption can really hurt providers when they come to realize that they are still on the OIG exclusion list years later.

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OIG Exclusion List, Fraud and Abuse, mfcu, OIG Exclusion

The Path of an OIG Exclusion

Posted by Michael Rosen, ESQ on Thu, Jun 15, 2017

Maybe the Wizard of Oz had good advice: follow the yellow brick road. It may have curves and present different paths, and you may meet some interesting people along the way, but in the end, it can take you to the big castle. In this case, the castle is the Office of Inspector General (OIG) for the Department of Health and Human Services (HHS) - the ultimate enforcer for healthcare fraud. The OIG has enforcement powers with the wave of its wand. Those powers include the statutory authority to impose civil fines and penalties (CMP) and exclusions against individuals and/or entities that stray from the yellow brick road.

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OIG Exclusion List, exclusion monitoring, OIG Exclusion

Quick Guide to Exclusion Searches : LEIE

Posted by Michael Rosen, ESQ on Thu, Jun 08, 2017


Exclusion is a word we hear often in our line of work, but it can become pretty convoluted with multiple interpretations, definitions, and technicalities that could make your head spin. Many times, compliance professionals don't recognize where to search, what to look for, or how often they should be monitoring for exclusions. For starters, let’s take a look at how to perform a quick exclusion search via the OIG LEIE. It is the most reliable source for searching for possible excluded indiviudals or entities.

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OIG Exclusion List, Healthcare Compliance, OIG

The ABC's of OIG Exclusion Monitoring

Posted by Mike Rosen on Fri, Jun 02, 2017

* Updated from original post on 12/17/2015

Healthcare compliance is complicated and full of regulations, guidelines, and oversight. Since federal tax dollars are used to reimburse health care providers for services, the Department of Health and Human Services (HHS) as well as the Department of Justice (DOJ) have oversight on how those dollars are spent. The purpose of this blog post is to give a basic understanding of exclusions, industry best practices, and a brief description of the federal exclusion databases.

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OIG Exclusion List, Healthcare Compliance, OIG, Healthcare Technology, Vendor Compliance, Data Management

Vendor Compliance Goes Beyond Employee Monitoring (Beyond Employee Monitoring eBook)

Posted by Michael Rosen, ESQ on Thu, Mar 02, 2017

Our latest eBook, Beyond Employee Monitoring: Vendors, Contractors and Third Parties, dives into the complexities of vendor monitoring. From digesting new regulations to discussing best practices, we hope this book helps you tackle your job with confidence. 

Download our free Beyond Employee Monitoring eBook here to kick start your vendor monitoring process.

Our eBook journey began with the release of The Ultimate Guide to Exclusion Monitoring. It covers everything you need to know about Office of Inspector General (OIG) exclusion monitoring and the OIG's regulations surrounding monthly monitoring and exclusion databases. We received an overwhelming amount of positive feedback for our exclusions eBook, so we decided to tackle the ins and outs of vendor monitoring as well. This 40+ page read covers the details and risks of not complying with OIG regulations as it pertains to vendor monitoring.

We're happy to announce an addition to our eBook collection! Our newest eBook, Beyond Employee Monitoring: Vendors, Contractors and Third Parties,  dives into the complexities of vendor monitoring. From digesting new regulations to discussing best practices, we hope this book helps you tackle your job with confidence. 

Download our free Beyond Employee Monitoring eBook here to kick start your vendor monitoring process.

Our eBook journey began with the release of The Ultimate Guide to Exclusion Monitoring. It covers everything you need to know about Office of Inspector General (OIG) exclusion monitoring and  regulations surrounding monthly monitoring and exclusion databases. We received an overwhelming amount of positive feedback for our exclusions eBook, so we decided to tackle the ins and outs of vendor monitoring as well. This 40+ page eBook covers the details and risks of not complying with OIG guidance and State and Federal regulations as it pertains to vendor monitoring.

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