tci Medicare Compliance & Reimbursement - 2012 Issue 18
Home Health Compliance: Are You Prepared To Cough Up $100K?
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Article Overview
This piece is about home health compliance, employee screening, and avoiding penalties tied to the OIG List of Excluded Individuals and Entities (LEIE). It discusses why exclusion screening matters, who should be checked, when checks should be performed, where to access the OIG database, and the broader compliance risks for providers that hire excluded individuals or entities. The article is relevant to home care, hospice, and other healthcare organizations responsible for workforce screening and program integrity.
Why This Topic Matters
Organizations that participate in Federal health care programs need reliable exclusion-screening processes to reduce compliance exposure and avoid civil monetary penalties. The article helps readers understand the operational importance of routine checks and documentation practices.
What You Will Learn
- Why exclusion screening is a key compliance step for healthcare employers
- Which workforce groups may need to be checked against the OIG exclusion database
- When and where providers can perform exclusion checks
- Why maintaining records of exclusion reviews matters
- What reinstatement after exclusion involves at a high level
Who Should Read This
- Home health agencies
- Hospice providers
- Healthcare compliance officers
- Human resources staff in healthcare organizations
- Healthcare administrators
- Medical practice managers
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