decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Investigation Procedures / Reinstatement of Excluded Providers / Reinstatement Development
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Article Overview
This premium article covers OIG reinstatement development procedures for excluded providers. It is intended for compliance, billing, and auditing professionals who need to understand the categories of documentation and background information reviewed during reinstatement requests and how that review is developed.
Why This Topic Matters
Understanding the reinstatement development process helps organizations prepare for exclusion-related reviews and assemble the types of supporting information OIG may request.
What You Will Learn
- What types of information OIG gathers during reinstatement request development
- Which outside sources may provide statements or background information for review
- What categories of post-exclusion history are considered in reinstatement development
- How reinstatement review relates to excluded provider compliance workflows
Who Should Read This
- Compliance professionals
- Billing specialists
- Auditors
- Provider enrollment staff
- Healthcare administrators
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