Federal Health Care Exclusion Guidelines

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Exclusions Office of Inspector General U.S. Department of Health

(4 days ago) WEBThose that are excluded can receive no payment from Federal health care programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or indirectly by the United States (other than the Federal …

https://www.oig.hhs.gov/exclusions/index.asp

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Federal & State Exclusion Policy Johns Hopkins Medicine

(2 days ago) WEB5. Exclusion or suspension under federal or state health care program.—Any individual or entity which has been suspended or excluded from participation, or otherwise …

https://www.hopkinsmedicine.org/johns-hopkins-health-plans/providers-physicians/health-care-fraud-and-abuse/federal-and-state-exclusion-policy

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Frequently Asked Questions Office of Inspector General U.S

(9 days ago) WEBThe scope of an exclusion under section 1128 of the Act is from all Federal health care programs, as defined in 42 CFR 1001.2. Federal health care programs include …

https://exclusions.iglb.oig.hhs.gov/faqs/exclusions-faq.asp

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OIG updates criteria for exclusion from federal health care programs

(6 days ago) WEBFederal health care programs will not pay for any items or services that are furnished, ordered or prescribed by an excluded individual or entity. Furthermore, a …

https://www.mcdonaldhopkins.com/insights/news/OIG-updates-criteria-for-exclusion-from-federal-he

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42 U.S. Code § 1320a–7 - Exclusion of certain individuals and …

(Just Now) WEBPub. L. 105–33, § 4331(c)(2), substituted “any Federal health care program (as defined in section 1320a–7b(f) of this title)” for “any program under subchapter XVIII …

https://www.law.cornell.edu/uscode/text/42/1320a-7

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Updated Special Advisory Bulletin on the Effect of Exclusion From

(2 days ago) WEBUpdated Special Advisory Bulletin on the Effect of Exclusion From Participation in Federal Health Care Programs. Guidance to the health care industry on …

https://www.hhs.gov/guidance/document/updated-special-advisory-bulletin-effect-exclusion-participation-federal-health-care

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Best Practices for Healthcare OIG Exclusion Screening …

(Just Now) WEBa full service exclusion solution such as PreCheck’s SanctionCheck® can help your organization ensure thorough, accurate screening and reporting results. …

https://aihc-assn.org/wp-content/uploads/2020/12/6.-Best-Practices-for-Healthcare-OIG-Exclusion-Screening-Monitoring.pdf

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42 CFR § 1001.1901 - Scope and effect of exclusion.

(9 days ago) WEB(a) Scope of exclusion. Exclusions of individuals and entities under this title will be from Medicare, Medicaid and any of the other Federal health care programs, as defined in § …

https://www.law.cornell.edu/cfr/text/42/1001.1901

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OIG updates guidance for dealing with persons excluded from …

(6 days ago) WEBOn May 8, the U.S. Department of Health and Human Services' Office of Inspector General (OIG) updated and replaced its 1999 guidance for dealing with groups …

https://www.aafp.org/pubs/fpm/blogs/gettingpaid/entry/oig_updates_guidance_on_the.html

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Federal Health Care Program Exclusion Lists and the …

(2 days ago) WEBrendered by an excluded person to a federal health care program, or causing such a claim to be submitted, is sub-ject to criminal prosecution and/or CMP …

https://phillipslytle.com/wp-content/uploads/2021/05/ARTICLE-2021-05-25-Keefer.pdf

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Exclusion from Federal Health Care Programs – Part One

(8 days ago) WEBThe Secretary may exclude the following individuals and entities from participation in any Federal health care program . . . (1) Conviction relating to …

https://medtrade.com/news/general-healthcare/exclusion-from-federal-health-care-programs-part-one/

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CMSPC OIG Guidelines For Exclusion - Cynthia Stamer

(3 days ago) WEBExclusion Guidelines For Officer, Management Employee vs. Owner other Federal health care programs or program beneficiaries, or to create any rights or privileges in …

https://www.cynthiastamer.com/documents/alerts/CMSPC%20OIG%20Guidelines%20For%20Exclusion.pdf

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FEHB Handbook - U.S. Office of Personnel Management

(5 days ago) WEBFEHB Program Handbook Introduction General Overview. The Federal Employees Health Benefits (FEHB) Program became effective in 1960. It is the largest employer-sponsored …

https://www.opm.gov/healthcare-insurance/healthcare/reference-materials/fehb-handbook

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The IMD Exclusion Behavioral Health Integration

(1 days ago) WEBfacilities. The IMD exclusion was also intended to prevent states from shifting the cost of psychiatric care to the federal government. Today, the IMD exclusion bars Medicaid …

https://medicaiddirectors.org/wp-content/uploads/2022/04/IMD-NAMD-Federal-Policy-Briefs.pdf

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10 Takeaways from New HHS Federal Compliance Guidelines

(7 days ago) WEBBelow are our top 10 insights and key takeaways from the GCPG, including observations as to how it compares to or differs from other types of compliance program …

https://www.hklaw.com/-/media/files/insights/publications/2023/11/10takeawaysfromnewhhsfederalcomplianceguidelines.pdf?rev=b3282b93334b4ec09fb2b4c64d94786f&hash=A289364CFF13125A48FE9ADBF7904E70

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Health Insurance Portability and Accountability Act of 1996 (HIPAA)

(9 days ago) WEBThe Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that required the creation of national standards to protect sensitive patient …

https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html

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CDC updates and simplifies respiratory virus recommendations

(8 days ago) WEBCDC released today updated recommendations for how people can protect themselves and their communities from respiratory viruses, including COVID-19. The …

https://www.cdc.gov/media/releases/2024/p0301-respiratory-virus.html

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Healthcare Infection Control Practices Advisory Committee (HICPAC)

(7 days ago) WEBWhat it is. HICPAC provides advice and guidance to DHHS and CDC on infection control practices and strategies for the surveillance, prevention, and control of …

https://www.cdc.gov/hicpac/php/about/index.html

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Biden-Harris Administration Launches New Option to Report …

(4 days ago) WEBIf an emergency medical condition is confirmed, hospitals must provide stabilizing medical treatment (or, if unable to stabilize the person within its capability, to …

https://www.cms.gov/newsroom/press-releases/biden-harris-administration-launches-new-option-report-potential-violations-federal-law-and-continue

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11th Circuit Rules Trans Health Insurance Exclusions Violate Civil

(8 days ago) WEBOn Monday, the 11th Circuit Court of Appeals ruled that transgender health insurance exclusions violate Title VII of the Civil Rights Act. The case was brought by a …

https://truthout.org/articles/11th-circuit-rules-trans-health-insurance-exclusions-violate-civil-rights-act/

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Electronic Health Records (EHR) American Medical Association

(1 days ago) WEBAn electronic health record (EHR) digitizes a patient’s paper chart. It collects the patient’s history of conditions, tests and treatments and can be used to create a …

https://www.ama-assn.org/topics/electronic-health-records-ehr

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Preventive Services Coverage High Quality Care CDC

(5 days ago) WEBMedicaid expansion plans. Medicaid expansion plans offered by states that extend Medicaid eligibility to non-elderly individuals with annual incomes at or below 133 …

https://www.cdc.gov/high-quality-care/hcp/resources/preventive-services-coverage.html

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Medicaid: CMS Final Rules Aim to Expand Access, Provide Parity …

(3 days ago) WEBThe Centers for Medicare & Medicaid Services (CMS) published two significant updates to its Medicaid regulations on May 10, 2024. The two Final Rules, a …

https://www.foley.com/insights/publications/2024/05/medicaid-cms-final-rules-parity-commercial-markets/

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CCR Licensing Exemptions Texas Health and Human Services

(Just Now) WEBTexas Human Resources Code §42.041 (b) (17) exempts a child care facility that operates for less than three consecutive weeks and less than 40 days in a period of 12 months. If …

https://www.hhs.texas.gov/providers/protective-services-providers/child-care-regulation/become-a-provider/ccr-licensing-exemptions

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CDC's Core Infection Prevention and Control Practices for Safe

(7 days ago) WEBMethods. CDC healthcare infection control guidelines 1-17 were reviewed, and recommendations included in more than one guideline were grouped into core …

https://www.cdc.gov/infection-control/hcp/core-practices/index.html

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A Closer Look at the Access Provisions in Final Medicaid Managed …

(3 days ago) WEBWhile this blog focuses on key provisions in the Managed Care Rule, CMS has issued other regulations and policy guidance that have access implications for …

https://ccf.georgetown.edu/2024/05/15/a-closer-look-at-the-access-provisions-in-final-medicaid-managed-care-rule/

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