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There has been an exponential increase in providers and companies attempting to defraud the healthcare system. Providers, employees, contractors, and vendors form the backbone of most healthcare businesses. Unfortunately, in today’s complicated healthcare business environment, these same individuals also represent a significant risk.
Healthcare organizations are prohibited from hiring people and companies that appear on federal and state Sanctions and Exclusions lists. The cost of non-compliance is severe, $11K fine per bill involving a sanctioned or excluded provider or vendor.
Compliance is not a one-time event. Some companies occasionally check for integrity exceptions, perhaps monthly, quarterly, or even annually, but these timeframes are insufficient to avoid significant fines and reputational damage. The good news is that ongoing integrity compliance can easily be automated and brought in-house.
The Office of Inspector General (OIG) continues to ramp up enforcement activities to eliminate fraud and remove unscrupulous providers and vendors. Protecting your organization from OIG and state penalties requires:
Doing this is impossible without effective, complementary technology tools.
Upon request, all attendees will receive a complimentary free trial of IntegrityShield-SES from SureShield.