Avoid Medicare Exclusion and Thousands in Lost Payments
Being designated as “excluded” by the Office of the Inspector General (OIG) is akin to the plague and the death penalty rolled into one. And if you think it can't happen to you or one of your staff, think again – especially with the new guidelines that went into effect February 13th 2017.
Getting tagged as “excluded” means you're no longer eligible to participate in ANY federally funded health care program (including Medicare). And, the damage this causes is no longer limited to only government payers. Most private insurers are now requiring that you must NOT be designated excluded to participate on their panel as well. But there is something you can do about it.
Leading healthcare attorney, Heidi Kocher, BS, MBA, JD, CHC, will walk you through the new exclusionary rules going into effect so that you can really understand what will keep you off of the OIG's hit list.
Here are just a few of the practical, easy-to-implement tactics you’ll receive by completing this 80-minute training:
• Determine specifically who you should screen
(individuals and entities) and how often
• Avoid being placed on the list for lack of compliance
if there is a match on your team
• Find out what other legal actions can have collateral
damage resulting in exclusion
• Learn how to get reinstated onto Medicare after an
exclusion period expires
• Head off the top “flags” that lead to exclusions
• Master documentation requirements making your
• And so much more…
To make matters worse, if you employ an excluded employee (even accidentally), any funds paid to them must be paid back to Medicare/Medicaid promptly, and if you don't take action quickly enough your entire practice could be at risk. Are you really ready to lose serious revenue by getting thrown out of Medicare and your other private insurers?
Don't take the chance. Invest just 80 minutes of your time and complete this step-by-step, plain-English training session that will provide you with the tools you need to protect yourself, your staff and your practice. Don't wait, order today.
Ms. Kocher has 20 years of experience in health care legal and compliance related issues. Her experience includes positions at a large hospital corporation, serving as a compliance officer for a sleep lab/DME company and a compliance director, chief privacy officer and interim chief compliance officer at a medical device manufacturer. In addition, she has represented and advised critical access and long-term care hospitals, physician groups, home health agencies, DME companies, pharmacies (including compounding pharmacies), non-profit organizations, and licensed individuals. As a result, she understands the complexities and challenges that providers large and small face in complying with increasingly varied and complex laws. She is an expert in all aspects of compliance and privacy programs, including developing and deploying policies, procedures and training. Her experience includes implementing the various requirements and aspects of a Corporate Integrity Agreement, responding to and defending audits from Medicare, Medicaid and private insurers up through the ALJ level, guiding clients through voluntary self-disclosures, seeking advisory opinions from the OIG, and defending FDA audits. Ms. Kocher developed criteria for and implemented an aggregate spend system, permitting a medical device manufacturer to timely report correct information under the Physician Open Payments Acts (also known as the Physician Payments Sunshine Act). In addition, she is experienced in developing and implementing a compliance program to address Foreign Corrupt Practices Act requirements, including Eucomed guidelines. She also has significant reimbursement experience, addressing coverage policy issues, challenging denials, recoupments, and loss of billing privileges, obtaining HCPCS codes, and other reimbursement related issues.
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