decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Special Advisory Bulletins / OIG Special Advisory Bulletin 99-2_Sept 28, 1999 / How to Determine if an Individual or Entity is Excluded
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Article Overview
This article covers an OIG Special Advisory Bulletin focused on exclusion verification for health care providers and entities. It explains the general purpose of OIG’s List of Excluded Individuals/Entities, how the information is maintained and accessed, and why organizations should routinely review exclusion status for workers and contractors. The piece is relevant to compliance, credentialing, hiring, contracting, and exclusion-screening workflows.
Why This Topic Matters
Exclusion screening is an important compliance activity for providers and organizations that hire, credential, or contract with individuals and entities. Understanding how OIG maintains and organizes its exclusion information helps readers identify whether they need to incorporate regular status checks into their compliance processes.
What You Will Learn
- The purpose of OIG’s exclusion resources
- How exclusion information is made available to providers
- Why periodic exclusion-status checks matter for compliance
- What general categories of information OIG uses to organize exclusion data
Who Should Read This
- Health care providers
- Compliance officers
- Credentialing staff
- Billing and administrative staff
- Practice managers
- Contracting and human resources personnel
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