decisionhealth Newsletters, Part B News - 2015 Issue 6 (June)
Partners, vendors hiding excluded status may put your practice in penalty danger
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Article Overview
This compliance article explains how Medicare providers and related businesses can be affected when an excluded person’s involvement is concealed. It focuses on the broader risks of partner, vendor, and associate relationships, the role of due diligence, and how federal investigators and the Office of Inspector General may view knowledge, concealment, and program protection in potential penalty cases. The piece is aimed at providers, practice managers, compliance staff, and health care attorneys who need to understand exclusion-related enforcement exposure.
Why This Topic Matters
Businesses that bill Medicare can face penalties or repayment exposure if they work with excluded individuals and fail to recognize warning signs. Understanding the compliance expectations discussed in the article can help organizations reduce enforcement risk and strengthen screening practices.
What You Will Learn
- How excluded-person involvement can create Medicare compliance risk
- Why due diligence matters when evaluating partners, vendors, and business associates
- How federal enforcement agencies may assess knowledge, concealment, and program protection
- What kinds of business relationships can raise concern in exclusion-related cases
Who Should Read This
- Medical practice owners
- Practice managers
- Compliance officers
- Health care attorneys
- Billing and administrative staff
- Medicare providers
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