decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Special Advisory Bulletins / OIG Special Advisory Bulletin 99-2_Sept 28, 1999 / Employing an Excluded Individual or Entity
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Article Overview
This article discusses an OIG Special Advisory Bulletin on employment and contracting issues involving excluded individuals or entities. It is aimed at health care providers, facility administrators, compliance staff, and coding/reimbursement professionals who need to understand federal program compliance concerns. The bulletin addresses the regulatory and enforcement context, the types of organizations affected, and the general situations in which exclusion-related compliance exposure may arise.
Why This Topic Matters
Employment and contracting arrangements can create compliance and payment risk when excluded individuals or entities are involved. Understanding the bulletin helps organizations evaluate exposure under federal program rules and maintain appropriate exclusion-screening and compliance practices.
What You Will Learn
- The federal compliance context for employing or contracting with excluded individuals or entities
- Which provider and entity types are discussed in relation to exclusion-related risk
- How the bulletin frames the relationship between exclusion status and federal health care program participation
- The general circumstances under which exclusion-related employment arrangements may create compliance concerns
Who Should Read This
- Health care providers
- Compliance officers
- Billing and reimbursement professionals
- Practice administrators
- Hospital and facility managers
- Legal and regulatory staff
Codes Discussed
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