decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Exclusion / Permissive Exclusion / Failure to disclose ownership or report sanctions
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Article Overview
This article covers OIG exclusion policy involving failure to fully and accurately disclose ownership information, related business relationships, and sanctions-related information. It is intended for compliance, billing, and healthcare administration audiences that need to understand the general scope of disclosure obligations, the types of situations that can trigger exclusion review, and the factors considered when setting an exclusion period.
Why This Topic Matters
Disclosure and ownership-reporting issues can lead to exclusion actions that affect participation in federal healthcare programs. Understanding the general compliance framework helps organizations assess exposure and review reporting practices.
What You Will Learn
- The general circumstances under which OIG exclusion may be considered for disclosure failures.
- The categories of ownership and business information discussed in the article.
- The types of factors OIG considers when determining an exclusion period.
- The compliance significance of ownership control and related reporting obligations.
Who Should Read This
- Healthcare compliance professionals
- Medical billing and coding staff
- Practice managers
- Healthcare administrators
- Risk management personnel
Codes Discussed
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