Agree with all the above:
In home care, we are required under Medicare regs to verify that a physician/provider has:
a. a current active license
b. no sanctions on license
c. is not on Medicare/Medicaid exclusion list
all before we even see the patient next day! We receive updates and run physician list 2x year in my offive to verify above. If on sanctions list cannot bill that progrm; can provide services to other insurance providers. All to prevent MC/MA fraud and abuse of system.
Testimony on Fraud in Medicare Programs by Michael F. Mangano
Principal Deputy Inspector General
U.S. Department of Health and Human Services
.....An OIG exclusion has national scope and is important to many institutional health care providers because the Congress of the United States established a Civil Monetary Penalty for institutions that knowingly hire excluded parties. Accordingly, the OIG maintains the List of Excluded Individuals/Entities (LEIE), a database which provides information to the public, health care providers, patients and others relating to parties excluded from participation in the Medicare, Medicaid and all Federal health care programs......
List of Excluded Individuals/Entities