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Somewhere Beyond the OIG: Discussion of Exclusion Checks
Emily Reilly, Compliance Administrator, Wellstar Health System. Carey Cothran, Executive Director, Regulatory Compliance and Privacy, Piedmont Healthcare. Nicole Caucci, Deputy Branch Chief, Office of the Inspector General, HHS.
April 8, 2019
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We all know we should check the OIG exclusion lists for excluded individuals and entities, but what other sources should we be checking and how often? We will review available guidance and also poll the audience to gauge industry standards
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What do you do with: State exclusions for your own state? State exclusions that are not your state? GSA/SAM exclusions (SNAP, HUD, DOJ, etc.)? If you find an exclusion, what do you do next? For an employer? For a vendor? For a referring provider?
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Who are the key stakeholders in your organization that need to be involved in this process? When do you need to report an exclusion for a non-OIG exclusion?
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