Conference Materials (Password Required)

Do you need help making sense of the Office of Inspector General’s (OIG) exclusion authority and processes? Join healthcare attorney Sean Fahey as he will provide detailed reviews on the OIG’s guidance. This session will provide information on the Office of Inspector General’s (OIG) exclusion authority and processes. This session will also review the OIG’s guidance on screening for excluded individuals and entities, examine the effect of exclusion, and discuss the self-disclosure of the employment of excluded individuals. The session will explain the OIG’s exclusion authority and processes, address best practices when screening for excluded individuals, and provide recommendations on how to manage the self-disclosure of the employment of an excluded individual.

It is important to keep in mind that there are significant differences between the OIG Exclusion List and the CMS Preclusion List. During this session, Sean will discuss your obligations, as a Medicare home health or hospice provider, to ensure that your employees, agents, contractors, and vendors have not been excluded from participation in federal healthcare programs. He will also discuss the impact of the CMS Preclusion List on your employment and contracting practices. Both OIG and CMS contractors are actively on the lookout for violations.

The importance of exclusion screening, how to screen and which exact databases must be screened – according to both federal and state regulations, how often and which individuals and entities must be screened, and how providers must document their exclusion screening efforts in order to comply with the law. He will also go over the purpose and nature of the CMS Preclusion List.

Learning Objectives:

• Understanding the OIG and Exclusions – What are exclusions?
• Understand the importance of exclusion screening, how to screen and which exact databases must be screened – according to both federal and state regulations
• Screening for exclusions
• Learn how often and which individuals and entities must be screened
• Know how providers must document their exclusion screening efforts in order to comply with the law
• Learn the purpose and nature of the CMS Preclusion List
• Reinstatement
• Resources

Areas Covered in the Session:

• Office of Inspector General’s exclusion authority
• Office of Inspector General’s exclusion processes
• Providers that may be excluded
• Mandatory exclusions
• Permissive exclusions
• Impact of exclusions
• Scope and number of exclusions
• Exclusion referral sources
• Monitoring for exclusions – lists
• Screening for exclusions
• Screening for exclusions – tips
• Exclusions – reinstatements
• Exclusions – waivers
• Exclusions – investigations
• Exclusions – resources
• Live Q&A session

Suggested Attendees:

• Healthcare Executives CEOs, COOs, CFOs,
• Healthcare providers
• Hospital and facility administration
• Healthcare Policy Analysts
• Healthcare Business Researchers
• Legislative or Regulatory Advisors
• Compliance Officers
• Credentialing Teams
• Billing Teams
• Human Resources Teams
• Billers
• Coders
• Administrators
• Managers
• Supervisors
• Physician
• Non-Physician providers
• Qualified Healthcare Professionals
• Consultants
• Claims adjusters
• Case Managers

Presenter Biography:

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This is a Live Virtual session.

A new way of immersive learning that allows you to engage live with our instructor and peers providing you with the flexibility to juggle the new work-life balance.

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Snippet From Our Previous Session