tci Medicare Compliance & Reimbursement - 2021 Issue Q3
Reader Questions: Check OIG Excluded List Before Hiring Staff
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Article Overview
This article answers a practical compliance question about the HHS Office of Inspector General’s exclusions list and how often it should be checked. It is aimed at small practices, providers, and compliance staff who need a general understanding of exclusions screening, reinstatement, and the risks of hiring or working with excluded individuals or entities. The discussion includes broad OIG guidance, monthly review expectations, and brief compliance examples illustrating why ongoing screening matters.
Why This Topic Matters
Exclusions screening is a basic healthcare compliance safeguard that helps organizations avoid regulatory and financial risk when hiring or contracting. Understanding the need for periodic checks and reinstatement status can help prevent costly mistakes in federal healthcare program participation.
What You Will Learn
- Why regular screening of the OIG exclusions list is important
- When exclusions list checks should be performed during hiring and vendor onboarding
- How OIG generally treats exclusions and reinstatement
- Why exclusions create compliance and financial risk for healthcare organizations
Who Should Read This
- Small medical practices
- Healthcare providers
- Compliance staff
- Practice managers
- Billing and operations teams
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