Match standards with Medicare and Medicaid

By: Precheck  09-12-2011
Keywords: Healthcare, Healthcare Organizations, Healthcare Facility

Medicare and Medicaid requirements are clear, especially concerning sanctions and exclusions. So are the penalties for not complying. Don’t run the risk. Protect yourself with SanctionCheck.

The risk is great

For organizations providing services to Medicare and Medicaid patients, ensuring an institution’s compliance with regulatory requirements prohibiting employment of sanctioned individuals has potentially very costly implications. Hiring or continuing to employ physicians, allied healthcare professionals, nurses, contractors or vendors who have been sanctioned or excluded can jeopardize your ability to be reimbursed by Medicare and Medicaid. It can also subject your institution to the risk of Civil Monetary Penalties (CMP).

A complex challenge

In the continuing effort to combat fraud and abuse in Medicare and Medicaid programs, the Office of Inspector General of the U.S. Department of Health and Human Services has issued guidelines requiring sanctions and monetary penalties for healthcare organizations receiving federal money that employ or extend privileges to individuals who have been excluded or sanctioned. This presents a complex challenge, since simply checking the OIG and GSA lists is not sufficient to protect your organization. No less than 58 federal agencies and all 50 state Medicaid agencies have the authority to issue sanctions and exclusions. Furthermore, due diligence dictates that such screening be conducted on an ongoing basis. With the number and diversity of agencies involved, this screening can be complex and timeconsuming for you and your staff.

Cost-effective risk management

SanctionCheck features

  • Screens OIG and GSA lists
  • Screens numerous federal and state agencies, including OFAC and terrorists list
  • Provides further research and resolution of possible name matches at no additional cost
  • Maintains Medicare/Medicaid program integrity
  • Performs sanction screening checks on demand
  • Assists in combating fraud, waste and abuse
  • Promotes efficiency in Human Resource and Compliance Programs

SanctionCheck provides peace of mind to you and your facility, making certain that anyone engaged with your facility is compliant with Medicare and Medicaid standards. With the flexibility of running SanctionCheck as frequently as you wish, you can maintain confidence in the individuals in your healthcare facility year-round.

Keywords: Healthcare, Healthcare Facility, Healthcare Organizations

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