When the OIG is Not Enough

November 13, 2008 at 3:02 pm 1 comment

Want to be confident that your Medicaid supplier can actually service your healthcare system?   

You can’t necessarily rely on the fact that a supplier isn’t listed on the OIG List of Excluded Individuals and Entities as a your proof of legitimacy.  

A recent AP news article noted that 491 suppliers in South Florida had their billing privileges revoked.   243 appealed, and most were reinstated.   Then about two-thirds of them had their privileges revoked again.

Effective supply chain management and vendor credentialing requires more than one source.   Increase your confidence by verifying the supplier business itself through Secretary of State filings, credit reporting, government sanction checks as well as your own intuition.  One source is not enough.

Entry filed under: HHS OIG LEIE, Know Your Vendor, Medicare/Medicaid CMS, vendor credentials, vendor management. Tags: , , , .

Compliance is not equal to Credentialing Katie, Bar the Door

1 Comment Add your own

  • 1. The New Standards « Vendor Compliance  |  March 18, 2009 at 3:55 pm

    […] more frequently.  CMS has pushed state level bodies to check at least monthly, and the rate of recidivism is relatively high.  Of all checks, this should certainly be done by someone other than the rep or the employer.   […]


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