In healthcare operations, compliance is important to protect patients and ensure the smooth running of the organization. The Exclusion List OIG provides us with the resources to maintain compliance and safeguard against any lingering threats. Who you work with holds the bottom line amid all these hard-to-follow rules and regulations. All the upcoming things automatically add up to this if you are working with groups or vendors that are not on the OIG list. You are safe and protected, and most likely, the trust people have in your institution will always remain.
Failing to properly screen people you are connecting with can cause real harm and damage your institution’s reputation. In this guide, we will explore the severe consequences you might have to suffer. And also the solution. How OIG Exclusion automation can streamline your screening process and transform your current way of doing this screening.
Explanation of What Is the Exclusion List OIG?
It is a list maintained by the Office of Inspector General (OIG) for the U.S Department of Health and Human Services (HHS). The Exclusion List, officially known as the List of Excluded Individuals/Entities (LEIE), is basically a public database of business and individuals who are banned. So, they can’t be part of any federally funded healthcare programs, such as Medicaid and Medicare.
If you are wondering why someone would be on this list? The OIG Check only imposed on people with a variety of offenses. These exclusions fall into two main categories.
1. Mandatory Exclusion
The OIG Screening ensures the eviction of the individual or entities if they are in any way involved in illegal activities. This includes Medicaid and Medicare fraud, patient abuse or neglect, or any other conviction related to healthcare fraud or the unlawful distribution of controlled substances.
2. Permissive Exclusion
It follows that OIG is allowed to exclude individuals and entities on several grounds, relating to health care fraud. Other than Medicare or a State health program, Suspension, revocation, or surrender of a license to provide health care for reasons bearing on professional competence, professional performance, or financial integrity. Submission of false or fraudulent claims to a Federal health care program, or engaging in unlawful kickback arrangements. Defaulting on health education loan or scholarship obligations, and controlling a sanctioned entity as an owner, officer, or managing employee.
The Pitfalls Of Manual OIG Screening Rather Than Automation Screening
The Traditional approach to OIG Screening is much tougher, time-consuming, and not very effective. Assigning a staff member to manually search the LEIE database at the time of hiring a new employee. Or doing so for all employees every month is very inefficient and risky. This Process manual is not only tedious but also prone to human error, no matter how careful and considerate the person is while working.
Simplifying Compliance: How Venops Transforms Your OIG Check Process
The above table showcases the probability of error a human can make when conducting the screening manually. Yielding a need for a modern solution. This is precisely where a platform like Venops comes in for immense value. Venops integrated the OIG Screening task into the risk-free management ecosystem rather than treating it as a separate manual task.
Additionally, Venops works miracles by turning your high-risk administrative burden into an automated process that runs in the background. Our platform continuously monitors your entire vendor portfolio using the Exclusion List, GSA, SAM, and all the other relevant lists. When a potential match is found, the system takes immediate action by alerting stakeholders and providing the tools needed to investigate. The centralized venops system consistently delivers high-quality work and demonstrates compliance.
With the help of the automated system of Venops, you will have up-to-date vendor information from the time of onboarding. Until they work with your organization, you will also receive an ongoing report on a regular basis.
Final Thoughts!!
Don’t leave your organization’s compliance to chance, take it into your own hands with Venops. The Exclusion List OIG is a line of defense for protecting healthcare organizations, and you can do the same. Start your seamless automation journey to provide safeguards for your organization. You no longer need to use outdated manual methods. By embracing and accepting automation, you can leave the state of risk and finally be in a state of confidence.
As Venops, we will empower you to build a compliance program that helps protect your patients, finances, and the reputation of your organization.
Discover how Venops can help your organization run your operation smoothly. Schedule a demo today to see our platform in action.
:
https://www.pinterest.com/venops/