Hidden exclusion gaps are putting home health organizations at risk
Personal Care Services attendants account for roughly three times more fraud convictions than any other provider category — and most home health organizations don't realize how exposed they are.
The reason is structural. State exclusions take an average of 420 days to appear on the federal OIG list, and standard monitoring tools check sources in isolation. The result: excluded providers slip through, especially when they cross state lines or change names.
This new report breaks down what home health, post-acute and compliance leaders need to know about the gaps in conventional exclusion monitoring — and what a more complete approach looks like in practice.
Learnings include:
The reason is structural. State exclusions take an average of 420 days to appear on the federal OIG list, and standard monitoring tools check sources in isolation. The result: excluded providers slip through, especially when they cross state lines or change names.
This new report breaks down what home health, post-acute and compliance leaders need to know about the gaps in conventional exclusion monitoring — and what a more complete approach looks like in practice.
Learnings include:
- Why the 420-day lag between state and federal exclusion lists creates a persistent compliance blind spot
- How data aggregated from 50+ primary sources changes what monitoring can actually catch
- Why home health is uniquely exposed compared to other care settings
- What enriched monitoring looks like across real post-acute organizations
Please fill out the form to download the whitepaper.