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Friday, September 18, 2020

Taking your staff and vendors through the "do not use" database with CMS?

 Do not forget that if you plan on billing Medicare/CMS for services rendered, then you must comply with the regulation that requires we take all our staff, contracts, vendors, and anyone one else or company through the national "do not use" database with the OIG.


This requirement is not suggested, it is mandatory.  Go to the website address:  https://oig.hhs.gov/exclusions/exclusions_list.asp


OIG has the authority to exclude individuals and entities from Federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud. Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or indirectly by the United States (other than the Federal Employees Health Benefits Plan).


OIG maintains a list of all currently excluded individuals and entities called the List of Excluded Individuals/Entities (LEIE). Anyone who hires an individual or entity on the LEIE may be subject to civil monetary penalties (CMP). To avoid CMP liability, health care entities should routinely check the list to ensure that new hires and current employees are not on it.

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