Webinar: Get Familiar with State Sanction Screening Obligations: What you need to know to comply.
Webinar Date/Time: January 26, 2012 at 1:00 PM ESTDownload Materials
Healthcare providers, as a Condition of Participation, must screen all those with whom they employ or contract with against published sanction data. CMS regulations state that “[N]o payment will be made by Medicare, Medicaid, or any of the other federal health care programs for any items or service furnished by an excluded individual or entity….” In 2009 CMS issued a letter to Medicaid directors urging them to mandate providers to independently screen against their own Medicaid sanction list as often as monthly. In response more and more States now maintain a Medicaid and require screening against their sanction data as a condition of Medicaid participation.
This web conference will examine the whole issue of sanction screening and describe all the various sources of information on sanctioned health care individuals and entities at both the Federal and State levels. Special attention will be given to those states that have established their own sanction databases and screening requirements. Specific topics will include:
- Understanding the exclusion process
- Review of different sanction databases
- State sanction screening requirements
- Examples of how to effectively screen against multiple Federal/State databases
Richard Phillip Kusserow. Richard is the CEO of Strategic Management Services, LLC. (SMS), a Virginia-based company that provides consultative services to health care providers on government health programs, and specializing in developing, implementing and measuring effective compliance programs for health care businesses. He served as the DHHS Inspector General for eleven years and established what is now the OIG List of Excluded Individuals and Entities (LEIE).
Jillian M. Bower, MPA. Jillian is Manager of the Compliance Resource Center (CRC), a comprehensive and integrated end-to-end compliance management tool, that includes the Sanction Screening Services (S³). She has been a Senior Associate health care consultant and analyst. She worked directly with Health Resources and Services Administration on auditing the source data of the HIPDB.