Description

Employing or contracting with even one excluded individual, an employee, a contractor, a vendor, exposes your organization to civil monetary penalties and repayment of every claim touched by that person. A lack of knowledge is no defense: the government expects you to know the exclusion status of everyone you employ or do business with, and both OIG and CMS contractors are actively hunting for violations. For third-party billing companies and physician practices, exclusion screening is not a box-checking exercise; it is one of the highest-stakes obligations in your entire compliance program.

Yet most organizations are still getting the fundamentals wrong: screening annually when monthly checks are expected, checking only the OIG LEIE while ignoring state Medicaid exclusion lists and the GSA-SAM database, screening employees but not vendors and contractors, and failing to document their efforts in a form that will survive an audit. Each of those gaps is a finding waiting to be written up, and a penalty waiting to be assessed.

In this 60-minute session, explain exactly what your screening obligations are under federal and state regulations, which databases must be checked and how often, who must be screened, how to document compliance, and how the CMS Preclusion List differs from the OIG Exclusion List and reshapes your employment and contracting practices. If your organization cannot produce documented proof of monthly screening today, this session is not optional.

After this webinar attendees will be able to answer-

• What are your exact screening obligations as a Medicare or Medicaid participating provider or as a third-party billing company, and are you meeting them today?
• What is the difference between the OIG Exclusion List (LEIE) and the CMS Preclusion List, and why does confusing them create liability?
• Which databases must be screened under federal and state regulations, and how often, monthly or annually?
• Which individuals and entities must be screened: employees only, or also agents, contractors, and vendors?
• How must screening efforts be documented so they hold up when OIG or CMS contractors come looking for violations?
• What civil monetary penalties and repayment obligations follow from employing or contracting with an excluded party, even unknowingly?
• How does the CMS Preclusion List affect your employment and contracting decisions right now?

This webinar benefits the following agencies-

• Third-Party Medical Billing Companies
• Physician Practices and Medical Groups
• Hospitals and Health Systems
• Home Health and Hospice Agencies
• Long-Term Care Providers
• Revenue Cycle Management Companies
• Healthcare Staffing and Vendor Organizations

Who should attend?

• Practice Administrators and Billing Company Administrators
• Chief Compliance Officers and Compliance Officers
• Internal Auditors and Compliance Audit Professionals
• C-Suite Executives (Owners, CEOs, CFOs, COOs of billing companies and practices)
• HR Directors Responsible for Screening and Credentialing
• Vendor Management and Procurement Leadership