HIPAA

  • 1.  RE: LEIE Exclusion Checks

    Posted 11-20-2014 12:53 PM
    Just to throw this in, we are required under our Medicare Advantage contracts to check for exclusions monthly.  We are audited on this activity by the health plans.  With about 2,000 individuals, we have contracted with a vendor to perform these checks automatically for us and send us the results.  We have to provide the HPs with the results in the audit process.

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    Sherry Miller CHC,CHPC,MBA
    MSO Compliance Officer
    Epic Management, LP
    Redlands,CA
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