tci Medicare Compliance & Reimbursement - 2024 Issue Q2

Reader Questions: Understand The Rules On Reinstatement After Exclusion

Question: When an individual is excluded from participating in the Medicare program by the HHS Office of Inspector General (OIG), what is the process for reinstatement? Maryland Subscriber Answer: To be blunt — it’s complicated and it’s based on the parameters of the individual’s exclusion from Medicare and other federal programs. First: You should understand that when a provider is excluded by OIG from federal healthcare programs that it is essentially a ban on payment for services and items rendered to patients. “This payment ban applies to all methods of Federal program reimbursement, whether payment...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.