tci Medicare Compliance & Reimbursement - 2011 Issue 20
It's Up To You To Find Out If Your Employees Are Excluded From Medicare
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Article Overview
This article discusses a Medicare and federal health care program compliance issue involving employee exclusion screening and an enforcement action reported by the HHS Office of Inspector General. It is relevant to providers, compliance staff, and administrators who need to understand the importance of checking workers against exclusion lists and staying aware of civil monetary penalty enforcement risk. The piece gives a high-level summary of the incident and points readers to the OIG as the source for additional information.
Why This Topic Matters
Exclusion screening is a core compliance responsibility for health care organizations. Failing to identify excluded individuals can create legal, financial, and program participation risk, so this topic matters to administrators, compliance officers, and billing teams.
What You Will Learn
- Why exclusion screening for employees matters in health care compliance.
- How federal enforcement agencies address excluded-individual issues.
- Why organizations should verify staff status before and during employment.
- The role of the HHS Office of Inspector General in exclusion-related enforcement.
Who Should Read This
- Healthcare compliance officers
- Practice administrators
- Hospital and hospice administrators
- Billing and revenue cycle staff
- Healthcare attorneys
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