Federal Healthcare Program Exclusions Prevention Checklist

Guide your healthcare provider clients through key legal and operational considerations to avoid exclusion from participation in Medicare, Medicaid, and other government-funded healthcare reimbursement programs. Use this checklist to advise healthcare providers, including health systems, hospitals, physician groups, and individual practitioners. Learn how to avoid exclusion before the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) sends your client a Notice of Intent to Exclude (NOI) or before your client considers hiring an excluded individual.

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Related Content

• Healthcare Compliance Program for Providers Checklist
  Understand key legal and business considerations when building a compliance program. Assist your healthcare provider clients, including group practices, hospitals, and healthcare systems, in preparing a compliance program in response to an audit by a consultant or government agency. Produce a compliance program that is not only more than a paper program, but one that truly facilitates a culture of compliance reflective of your client's practice and goals.
• Sanctions Checking Policy (Healthcare Organization)
  Ensure that all individuals and entities your health system clients employ, contract with, or otherwise do business with, including agents, contractors, suppliers, and volunteers, are authorized to participate in federal and state healthcare programs. Adopt this policy to coordinate your clients’ conducting of sanctions checks against government exclusion lists and establishing a corrective action process for identified matches.
• Compliance Programs for Healthcare Providers
  Review the structural elements of a compliance program and plan for a healthcare entity. Get up to speed on the critical elements of a plan, the substantive legal issues these compliance plans cover, a plan's education and monitoring functions (including the use of Centers for Medicare & Medicaid Services (CMS) and Internal Revenue Service (IRS) advisory opinions), and how to evaluate a compliance plan.

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