Pharmacy Compliance – EXCLUSIONTrack

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COMPLIANCETrack EssentialsCOMPLIANCETrack Deluxe

medicare exclusion, pharmacy employee exclusion

Don’t get caught violating a Federal Law because you were not informed of an excluded employee!

EXCLUSIONTrack TAKES THE GUESS WORK OUT OF FEDERAL EXCLUSION LAWS

The government maintains lists of persons excluded from federally funded programs. Under revised Fraud, Waste, and Abuse rules, Pharmacies are required to check all employees against these lists monthly. EXCLUSIONTrack automatically performs monthly checks of employees, vendors and prescribers* against the General Services Administration (GSA) and The Office of Inspector General (OIG) exclusion lists, ensuring you are meeting the practices required for Pharmacy Credentialing by PBMs and other entities.

The Office of Inspector General States:
“An excluded person violates the exclusion if the person furnishes to Federal health care program beneficiaries items or services for which Federal health care program payment is sought. The law states that any excluded person that submits a claim or payment to a Federal health care program, or causes such a claim to be submitted, may be subject to a civil money penalty (CMP) of $10,000 for each claimed item or service furnished during the period that the person was excluded. And as a result of this exclusion violation, the person may also be subject to an assessment of up to three times the amount claimed for each item or service rendered. In addition, violation of an exclusion is grounds for OIG to deny reinstatement to Federal health care programs.

Source: Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs; Issued May 8, 2013.

Need additional information about this program or any other Pharmacy Compliance and Credentialing services or products? Contact our compliance specialists today.  And remember, our specialists can help you even if you are already working with another compliance program.

* There may be an additional charge for large prescriber files (1000+).

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P.O. BOX 852
201 Depot Street, Suite 200
Latrobe, PA 15650

Phone: 800-338-3688
Fax: 724-539-1388

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