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      Check This List Regularly and Avoid Fines For Hiring The Wrong People

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      Are you checking the OIG exclusion list? If your organization receives monies from any federal healthcare program - including Medicare and Medicaid - you need to ensure that you are not employing excluded individuals or using excluded entities.

      Fines for OIG Exclusion List Violations Begin at $10,000  


      The U.S. Department of Health and Human Services (HHS)/Office of Inspector General (OIG) maintains a list of all excluded individuals and entities. Anyone hiring an individual or entity may be subject to Civil Monetary Penalties (CMP).

      What are the CMPs?

      A Civil Monetary Penalty is a fine, and for OIG exclusion violations the fines can start at $10,000 and increase based on criteria established for HHS. The OIG also publishes the information when a fine is issued on their website: oig.hhs.gov.

      Who is the OIG excluding?

      Individuals and entities convicted of the following types of criminal offenses:

      • Medicare or Medicaid fraud, as well as any other offenses related to the delivery of items or services under Medicare, Medicaid, SCHIP or other State healthcare programs

      • Patient abuse or neglect

      • Felony convictions for other health care-related fraud, theft, or other financial misconduct

      • Felony convictions relating to unlawful manufacture, distribution, prescription, or dispensing of controlled substances.

      Anyone on the excluded list is fully aware of their status. These individuals have interacted with the federal legal system and have been educated on their exclusion.

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      What Should You Do to Avoid Fines?

      The OIG recommends performing exclusion checks prior to hiring and at least monthly after that. As with many federal mandates, being unaware of the rule or unintentionally violating the rule is not a valid reason for the violation itself. Even if you didn’t know, you are still responsible and can be fined.

      Implementing this in your practice and becoming compliant with the monthly review is easy. The online, searchable database is free to use. Include the OIG exclusion check as part of your background check when hiring. On a monthly basis pull a list of all staff, including your leadership and board, and check those names against the OIG Exclusion list. Document your efforts and keep in a safe place.

      If you find a current employee on the exclusion list, be sure to thoroughly determine that it is the same person – individuals with more common names may pop up – you can review the date of birth and other demographic information to determine if it is the same individual. If the employee is on the exclusion list, you must take action immediately. Again, individuals on the exclusion list are aware of their status and should not be surprised when they are discovered and action is taken.

      OIG Tools, InSync EHR Software Keep You Compliant, Cutting Edge

      We are all responsible for compliance and keeping our organizations safe. The free tools available through the OIG will your patients and organization stay safe and prevent potential fines.

      schedule a demo with insync healthcare solutionsAt InSync Healthcare Solutions, we are responsible for providing fully integrated, interoperable and mobile EHR systems that are HIPAA-compliant and increase practice efficiencies.

      For a closer look at how our software system can streamline your organization's workflows, schedule a demo now with one of our experts. We're happy to answer questions and explain how our system can save you time and money. 

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