Your patients deserve quality care, and that means ensuring that you are employing people with the right integrity. If you accept federal or state programs such as Medicare, Medicaid, or Tricare, then you need to perform monthly exclusion database checks to show that everyone in your office is working where they are supposed to work. This starts with an OIG and SAMS exclusion search upon sending an offer letter, and then continuing monthly thereafter. Likewise, if you provide services to patients in their homes, some states like Texas require a criminal background check.
If you are struggling to keep up with the compliance and operational demands of your practice, talk to Medical Auditing Solutions about a way forward. We provide a range of services designed to help medical providers to stay on the right side of the law, and we can help you to make sure that you are performing all of the background checks that these agencies require.
To learn more about how we help, give us a call today!
What Is An Exclusion Database?
Healthcare programs, both at a federal and state level, need to keep an eye out for problems. These include fraud and waste, and since taxpayers pay closer attention to these issues than ever before, these programs pay close attention to certain things. They want to make sure that each claim is appropriately filed, and agencies also ensure that the right people are working in this industry.
One of the ways that they do this is with their exclusion databases. These databases hold information about who has been barred from working with particular agencies and programs, helping everyone involved to stay on the right side of laws and regulations. Exclusion databases are an essential part of industry control, and it is important to make sure that you are using them on a regular basis.
You Need To Perform Monthly Exclusion Database Checks
All healthcare providers who accept federal or state funding need to follow the rules related to their specific programs. Monthly exclusion database checks are a necessary monthly requirement, and if you have been slacking, it could wind up costing you significantly. Those who are caught employing an excluded individual can be fined up to $10,000 per day, meaning that you need to take these checks seriously.
At our office, we understand that it can be tough to know all of the different laws and regulations for medical professionals. That’s why we compiled a comprehensive list of resources for 42 states, helping you to know what you states have state exclusion databases. And if you have further questions about this process, always feel free to reach out to our team to talk about compliance.
Stay Compliant With Medical Auditing Solutions
Exclusion database checks are a good idea; they are also a requirement if you accept federal or state funding. To start a conversation about compliance, call Medical Auditing Solutions at (972) 459-1508 today.