Trust is a huge part of both operating a business and managing a healthcare facility. You have trust that your employees are performing their jobs correctly. In addition, you trust your vendors to provide high-quality products. On the other hand, if you have an unreasonable level of trust and do not screen companies to do business with, you might be surprised if you hired a contractor that was banned from your industry or a vendor with a history of stealing from their custome

When we go to a doctor or a hospital, we trust that the people taking care of us are honest, qualified, and safe. But how does the government ensure that healthcare providers are following the rules? The answer lies with a government agency called the Office of Inspector General (OIG). For anyone working in healthcare, human resources, or medical administration, understanding the " OIG Check " is not just a suggestion—it is a requirement. Let’s break down what these terms mea

The operation of any business, particularly in health care, has two important components: providing care to patients and customers, and abiding by regulations. An especially important set of regulations to comply with is to fully understand who you are hiring and who you are conducting business with, commonly referred to as performing " Exclusion Screening ." Exclusion screening may seem intimidating if you are not familiar with the term, but it is quite an easy process. It i

There are many concerns that any healthcare organization has to face; patient care, staffing and billing to name a few. However, there is one thing that will cost you a fortune if not taken care of, it could destroy your company's reputation as well; the process of checking all of your new hires or those who you conduct business with. This type of check is referred to as sanctions checks or exclusion screening. Although this may sound heavy and legal in connotation, the c

Workers in Healthcare have likely encountered OIG Screening before. However, not many individuals truly understand what exactly OIG screening involves; thus let’s simplify. Defining OIG Screening To begin with, OIG is short for the Office of Inspector General, the federal agency that regulates and supervises all the healthcare programs that the Federal Government manages, specifically Medicare and Medicaid. OIG Screening refers to the OIG’s screening of an individual to dete

We trust our physician with our health whenever we see him/her; therefore, when he/she gives us medicine or recommends equipment it’s because they truly believe it’s the best thing for us. Unfortunately, the healthcare system has multiple upset factors, including the fact that physicians have an extensive emotional and family history with their patients and often deal with pharmaceutical companies or medical equipment manufacturers as part of their professional lives. In orde

Information Healthcare Providers Should Know About OIG Exclusion Checks Running the healthcare business or working in healthcare gives you a lot of rules. You need to follow privacy laws and make sure you submit correct codes for billing purposes. This is a lot of information to deal with, but there is one safety net that you need to pay attention to, and that is exclusion screening. Exclusion Screening sounds like complicated legalese, but really it just means you want t

Working in the healthcare industry means you must follow many rules, not just for patient care but for the business side as well. One of the most critical topics for providers and hiring managers is exclusion. While it sounds technical, the concept is actually very simple to understand. However, ignoring it can lead to massive financial losses for your organization. The Office of Inspector General (OIG) is tasked with fighting fraud in federal programs like Medicare and Medic

Bringing new employees into an organization brings plenty of excitement and opportunity for any type of organization but especially one associated with health care. As an organization expands its workforce, you will have the opportunity to serve many more patients or customers than before! However, finding the right employee for your organization is also a big responsibility. Finding the right person isn’t only about verifying educational qualifications and work experience; i

As a healthcare provider or other administrative workforce member, you are responsible for managing both the care your patients receive, as well as the many other required by law to operate in compliance. In addition to caring for patients, you must also manage the healthcare rules that govern how organizations must comply with state regulations in every aspect of running a business. One of the most important duties on your organization’s to-do list includes regular backgroun

As healthcare professionals, there are many operational aspects associated with keeping your facilities functioning including, but not limited to, insurance claims and patient medical records and there is also a great deal of back-end screening that is necessary for maintaining compliance and safeguarding your practice. Today, we are going to discuss, in plain and simple language, some commonly used terms in compliance—namely the Office of Inspector General (OIG) and Centers

Perhaps you're working in the medical industry in an area such as human resources or practice management and have been feeling overwhelmed with a long list of tasks. With all the issues in healthcare today ranging from lack of personnel to inadequate patient satisfaction scores and concerns over billing errors, the process of ensuring compliance may seem like "checking off another box". One area of compliance that is extremely important to ensure the safety of your patients a

The healthcare industry needs a lot of patients' trust and government recognition to run properly in the long term. Therefore, the open payments CMS is introduced in the healthcare sector to represent financial transactions publicly. This report records transactions made by companies that provide devices or medical equipment to physicians, doctors, nurses, or other recipients. This system of publicly reporting every transaction between the two main bodies of healthcare provi

In order for people with OIG Check, OIG Excluded, OIG Exclusion, and Exclusions List from the OIG, People may get confused by these terminologies; however, these concepts are very simple in nature and provide an explanation in language the average person will understand about its significance and importance. This blog will help you understand each of them. What Are OIG Checks? OIG Checks are the primary way that healthcare organizations verify that someone has the right to pr