Integrity: Take a New Approach to Managing Your Sanctions and Exclusions Process

Integrity: Take a New Approach to Managing Your Sanctions and Exclusions Process

• Sanctions and exclusions, an overview
• Non-compliance is costly, OIG can impose up to $11K fine per invoice
• Integrity subcategory: Section 889
• Getting started
• Q&A

Sanctions and Exclusions
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 significant risk. Healthcare organizations are prohibited from hiring people and companies that appear on banned lists and the cost of non-compliance is severe, $11K fine per invoice involving a banned physician.

Compliance is not a one-time event. Some companies occasionally check for integrity exceptions, perhaps annually, but this is insufficient to avoid significant fines and reputational damage. The good news is that ongoing integrity compliance can easily be automated.

Office of Inspector General (OIG)
OIG is ramping up enforcement activities to eliminate fraud and remove unscrupulous providers and vendors. Working with excluded or sanctioned entities can cost your institution millions of dollars, money that is scarce in an industry hard hit by the pandemic.

Integrity Subcategory: Section 889
Federal contractors must attest they are not using telecommunication technologies from the list of banned foreign companies. Failure to comply can result in loss of contracts and significant penalties. As recipients of federal government payments, healthcare providers are at risk for Section 889 non-compliance.

Upon request, all attendees will receive a free trial of IntegrityShield including 889 module.

Here is the webinar recording:

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