#fraud hotline

In 1977 the federal government had circulated a list of providers who are excluded from getting payments from the government after committing some faulty acts. Currently, the OIG LEIE is managed by the office of the Inspector General at Health and Human Services. The OIG LEIE is an essential element of compliance for the healthcare organizations; furthermore, the OIG doesn't issue warnings. It also consists of Compliance Hotline where people can report any kind of compliance

What is OIG LEIE, and why is it essential to search for it?

As per the OIG Exclusion Search, it provides data to the health care industry and the public about the people and entities excluded currently from participation in Medicaid and other Federal health care programs. It is easy to search for LEIE after the list provided from OIG Exclusion Search as it is updated regularly on the official portal of the OIG.

The most crucial reason for the OIG Exclusion Search is to ensure that the organization should hire potential employees who aren't on the list currently. If certain entities or individuals are on the list, they are subject to specific penalties.  Having excluded people on board causes a severe problem for the organization.

What are the effects of Medicare Exclusion List?

The Medicare Exclusion List leads to two types of exclusion, including permissive and mandatory. Ideally, the necessary exclusions are ordered by the law, and OIG requires to exclude an individual and entity when they are caught to commit some crimes, including Medicare fraud or abuse. On the other hand, permissive exclusions provide OIG discretion over exclusion. The offenses under permissive exclusions are on a misdemeanor level.  

One of the minimal effects of exclusion includes denial of payments by a federal health organization; it consists of any items or services ordered, furnished or prescribed by an excluded entity or individual.  

What are the exceptions of Medicare Exclusion List?

Now a days every corporate office has an Anonymous Hotline number which is a service that enables employees and third-party suppliers to report malicious illegal or unethical behavior within the workplace. It usually refers to telephone-based service, but is often supplemented by other reporting options.

Their main advantage is that they allow anonymity of the system very easily which is a key factor in encouraging people to report suspicion without fear of doubt.

This is a way for the manager or other sector to show that their concerns are being taken seriously and this information should be conveyed to people who have the responsibility and skills to deal with the reported cases.

With the help of the Anonymous Hotline number complete transparency is maintained. Since the complaint is made anonymously therefore employees are able to complain about anybody and anything without the threat of facing consequences from the superiors or the management or any other third party.