decisionhealth Newsletters, Part B News - 2018 Issue 9 (September)
Excluded RN costs practice $61,000
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Article Overview
This brief article reports on a settlement with the HHS Office of Inspector General and explains the general compliance issue at the center of the matter: potential risk when excluded individuals are employed by organizations that receive federal health care program payments. It is relevant to medical practice administrators, compliance staff, and billing professionals who need to understand exclusion-related oversight topics and enforcement activity.
Why This Topic Matters
Exclusion-related compliance issues can create legal and financial exposure for practices that participate in federal health care programs. Readers will gain a high-level understanding of the kind of enforcement action involved and why staffing decisions can matter in a reimbursement environment.
What You Will Learn
- What the article reports about the settlement
- How exclusion from federal health care programs can affect provider organizations
- Why employment of excluded personnel is a compliance concern
- Which organizations are involved in the enforcement matter
Who Should Read This
- Medical practice administrators
- Compliance officers
- Billing and reimbursement staff
- Healthcare attorneys
- Practice managers
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