decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Exclusion / Exclusion is becoming OIG's tool of choice
Subscribe or sign in to view the full article.
Article Overview
This article discusses the HHS Office of Inspector General’s increasing reliance on exclusion from Medicare and Medicaid as part of fraud and abuse enforcement. It is aimed at providers, facilities, compliance staff, and billing professionals who want a high-level understanding of exclusion trends, recovery activity, and the operational impact of exclusion on participation in federal healthcare programs.
Why This Topic Matters
Exclusion can affect a provider’s ability to participate in Medicare and Medicaid and may have lasting administrative and financial consequences. Understanding the enforcement landscape helps organizations assess compliance risk and recognize why exclusion is a significant regulatory concern.
What You Will Learn
- How exclusion is used as an enforcement mechanism in federal healthcare oversight
- Why exclusion activity is relevant to providers and institutions
- The broader compliance implications of exclusion and reinstatement challenges
- How OIG’s approach relates to fraud and abuse enforcement efforts
Who Should Read This
- Healthcare providers
- Hospitals and health systems
- Compliance officers
- Medical billing and coding professionals
- Revenue cycle staff
- Healthcare administrators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com