Here are a few reasons to conduct exclusion monitoring.
- Healthcare organizations cannot employ an excluded individual or entity if participating in any Federal healthcare program, to do so will result in fines.
- Several State Medicaid Agencies have their own state exclusion list.
- Several State Medicaid Regulations require monthly exclusion monitoring.
- Per the Patient Protection and Affordable Care Act (PPACA) required Center for Medicare and Medicaid Services (CMS) says you should conduct exclusion monitoring. Reference the specific guidance here. Section 6501