decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Exclusion / Permissive Exclusion / Criminal conviction for interfering with or obstructing an investigation
Subscribe or sign in to view the full article.
Article Overview
This premium article covers an Office of Inspector General exclusion topic tied to criminal convictions for interfering with or obstructing an investigation. It is intended for coders, compliance staff, auditors, and health care administrators who need a high-level understanding of when this exclusion category applies, what broad aggravating and mitigating factors may affect the period of exclusion, and how the rule is illustrated in a general example.
Why This Topic Matters
Understanding this exclusion category is important for compliance screening, provider integrity review, and risk management in organizations that participate in federal health care programs. The article summarizes the scope of the exclusion framework and the types of factors that can influence the length of exclusion.
What You Will Learn
- The general basis for a federal exclusion category involving interference with or obstruction of an investigation
- The broad types of aggravating factors that may increase the exclusion period
- The broad types of mitigating factors that may decrease the exclusion period
- How the topic is illustrated by a general enforcement example
Who Should Read This
- Medical coders
- Compliance officers
- Revenue cycle staff
- Health care administrators
- Auditors
- Risk management professionals
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com