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The guidelines enforced by the HHS Office of Inspector General (OIG) are to be obeyed by every healthcare provider in the US. To reduce the overhead of filing and detailing the entire process of OIG exclusionand OIG checks, Venops provides a comprehensive suite of services to tackle everything for you. Opting for Venops for all your OIG exclusion and sanction screening needs means that you will never miss out on the latest benefits provided by the Federal Payments Programs while not disobeying OFAC search and ending up on the exclusion list OIG.


What is an OIG check, and why does OIG exclusion matter to me?

Theexclusion list OIGis issued by HHS OIG, the biggest healthcare compliance and fraud prevention agency in the US. This list was constructed after a series of OIG exclusion and sanction screenings done on every healthcare provider who wants to cater to the American audience. This list prevents healthcare providers from benefiting from the federal payments program if they’re caught employing prospective or current employees and vendors who were previously excluded from the program as well. Without clearance from the OIG Department of Healthcare, no healthcare provider can provide healthcare services using the capital from federal payment programs within US jurisdictions.

Sources and defaulting acts that cause exclusion during sanction screening.
  • Abuse or neglect of patients. If there are enough sustained cases of patient abuse and neglect in your firm, there’s a high chance of being excluded.

  • Conviction for felonies. A case or act resulting in conviction is the main cause of many healthcare providers ending up on the exclusion list OIG.

  • Dispensing of controlled substances. If you're ever caught in the act of dispensing controlled substances, then it will get you excluded. This applies to both the employee and the vendor during OIG checks.

  • A Medicare or Medicaid fraud conviction is sure to get you under the radar of OIG exclusion.

  • Fraud, embezzlement, or other financial misdeeds related to the healthcare industry would also result in exclusion from any federal benefits.

  • Illegal production, distribution, or prescription of substances to general patients or vendors would also result in strict actions against the healthcare provider and the employees involved while also being excluded from the OIG sanction list.

  • Student loan defaults Also, bring your name under the exclusion list OIG, so keep it clear and fine-free.

  • Other similar reasons could also cause a healthcare provider or any individual or vendor to land on the exclusion list if they don’t comply with the proper order.

CMS Open Payments and why you need to comply with them

The CMS Open PaymentsProgramwas enforced to ensure higher transparency and more accountability for the healthcare system. It involves healthcare providers disclosing their payment data for their employees and vendors to verify. This increases transparency regarding where the payments are being made and who is benefiting from them. This also helps the US Department of Health and Human Services to keep a check on what’s going on with the funds from federal payment programs.


Venops has streamlined this entire process for your healthcare business by providing you with our comprehensive exclusion screening and CMS Open Payments reporting services. You can generate a CMS Open Payments report to view and correct your practice's payment data. This prevents false reporting of payment-related data from being made under your business name and negatively impacting your reputation. High levels of automation also smooth the entire process even further. With Venops’ CMS Open Payment Reporting Services, you can protect your firm from financial penalties.


What differentiated Venops from the rest?

Venops has established a record of success in managing this specialized field of our clients’ compliance plans. Thousands of healthcare organizations trust Venops with their OIG screening and exclusion list OIG compliance. We provide a full range of exclusion and sanction screening tools with automated monthly screening, CMS Open Payments reports, etc.


With Venops, you can reclaim your precious time with automation, speed, ease-of-use services, and a knowledgeable staff to support our clients 24/7. Manage risks and avoid OIG fines with our trusted OIG checkand OIG exclusion services. Our automated services can create a CMS Open Payment report in minutes and save your precious minutes to provide your patients with better care. We carefully do extensive background research on all your employees and vendors, including LEIE referencing and OFAC search listings. We assure you peace of mind with healthcare compliance and mark your healthcare businesses’ success with Venops.


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