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7 Ways to Ensure You are
ABSOLUTELY NOT
    OIG Compliant.
       (You’re welcome.)
1. Rely on the LEIE.
              The LEIE is NOT a complete list. Not even close.

      In 2008, the OIG audits the LEIE, and what do they find?
Up to 61% of state excluded providers failed to show up timely or at
                        all on the OIG LEIE.

                       LEIE is only 21% of exclusion records.
                      How are you monitoring the other 79%?



7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
2. Only checking your Employees.
   In addition to your employees, you need to be actively
    monitoring vendors, contractors, physicians, and even
                     referring physicians.

 Many organizations have more vendors than employees.
Leaving that group out of your monthly monitoring leaves
 out a HUGE percentage (and leaves you liable for fines!)



7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
3. Ignore the Individual State Lists.
  ObamaCare = excluded in one state, now excluded in all states

               An Even BIGGER Impact of ObamaCare?
         “Moving the industry from recommended to mandated
               compliance programs.” -- Alice Martin, Esq.


Bottom Line: Start Checking the State Lists. Today.


      (Remember: Your organization is responsible for self-disclosing ANY excluded providers.)


7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
4. Don’t check lists at least
                       every month.
 “Our practice is to update the list monthly...”
 “I don’t think it would be a bad idea to check the LEIE monthly.”
                                                -- HHS Inspector General Daniel Levinson



                    Listen to the General. Check em.


7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
5. Don’t use a system to archive
                your monitoring.

             Q: Checking the lists is extremely time-consuming,
              state lists are remarkably difficult to check, and
              where and how do you archive what you find?

     A: Make your life easier and implement a monitoring system.
                         You’ll thank us later.




7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
6. Don’t check for exclusions
                   before you hire.
    “Bad Nurses Able To Keep
   Working In Different States”
                -- USA Today, 2010

   “Nurse Krystal Bauer... moved so fast she amassed allegations in
         multiple states before her home state caught up.”


             Know who you’re hiring BEFORE you hire.


7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
7. Checking everything.......manually.
  Let’s face it - checking everything consistently can be a nightmare.
          It can be incredibly time-consuming and frustrating.
    Not to mention, if you miss something you could be liable for
                              huge penalties.


  Make your life a lot easier - implement an automated monitoring
            system that checks everything in real-time.



7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
Staying OIG Compliant is hard.
 We get that. And we’re here to help.
   ProviderTrust brings you real-time compliance in an easy and
  simple way, providing ongoing monitoring with matched results.

      Give us a shout to learn more about compliance and
       monitoring solutions. You’ll see why we love doing
         what we do. Looking forward to meeting you!



Chris Redhage
credhage@providertrust.com
615.938.7878

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Provider trust oig_compliance_preso

  • 1. 7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant. (You’re welcome.)
  • 2. 1. Rely on the LEIE. The LEIE is NOT a complete list. Not even close. In 2008, the OIG audits the LEIE, and what do they find? Up to 61% of state excluded providers failed to show up timely or at all on the OIG LEIE. LEIE is only 21% of exclusion records. How are you monitoring the other 79%? 7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
  • 3. 2. Only checking your Employees. In addition to your employees, you need to be actively monitoring vendors, contractors, physicians, and even referring physicians. Many organizations have more vendors than employees. Leaving that group out of your monthly monitoring leaves out a HUGE percentage (and leaves you liable for fines!) 7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
  • 4. 3. Ignore the Individual State Lists. ObamaCare = excluded in one state, now excluded in all states An Even BIGGER Impact of ObamaCare? “Moving the industry from recommended to mandated compliance programs.” -- Alice Martin, Esq. Bottom Line: Start Checking the State Lists. Today. (Remember: Your organization is responsible for self-disclosing ANY excluded providers.) 7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
  • 5. 4. Don’t check lists at least every month. “Our practice is to update the list monthly...” “I don’t think it would be a bad idea to check the LEIE monthly.” -- HHS Inspector General Daniel Levinson Listen to the General. Check em. 7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
  • 6. 5. Don’t use a system to archive your monitoring. Q: Checking the lists is extremely time-consuming, state lists are remarkably difficult to check, and where and how do you archive what you find? A: Make your life easier and implement a monitoring system. You’ll thank us later. 7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
  • 7. 6. Don’t check for exclusions before you hire. “Bad Nurses Able To Keep Working In Different States” -- USA Today, 2010 “Nurse Krystal Bauer... moved so fast she amassed allegations in multiple states before her home state caught up.” Know who you’re hiring BEFORE you hire. 7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
  • 8. 7. Checking everything.......manually. Let’s face it - checking everything consistently can be a nightmare. It can be incredibly time-consuming and frustrating. Not to mention, if you miss something you could be liable for huge penalties. Make your life a lot easier - implement an automated monitoring system that checks everything in real-time. 7 Ways to Ensure You are ABSOLUTELY NOT OIG Compliant.
  • 9. Staying OIG Compliant is hard. We get that. And we’re here to help. ProviderTrust brings you real-time compliance in an easy and simple way, providing ongoing monitoring with matched results. Give us a shout to learn more about compliance and monitoring solutions. You’ll see why we love doing what we do. Looking forward to meeting you! Chris Redhage credhage@providertrust.com 615.938.7878