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Exclusion News

What is the NPDB?

1. What is the NPDBThe National Practitioner Data Bank (NPDB) was created as part of the Health Care Quality Improvement Act of 1986 (HCQIA). [...]

Impact of Coronavirus and Risks to Healthcare Providers Including Nursing Homes and Other Elderly Care

WASHINGTON, DC - As the novel coronavirus, also known as COVID-19, continues to infect people in the United States, nursing homes, assisted living, and [...]

Pennsylvania Doctor Excluded in Connection with Quality of Care

(September 26, 2019): Over the past year, both State and Federal law enforcement investigators and prosecutors have gone to considerable lengths to publicize the [...]

Pennsylvania Exclusion Screening Requirements

(May 30, 2019) In August, 2011, the State Department of Public Welfare issued a bulletin requiring providers to screen employees and contractors upon hire [...]

OIG Enforcement Actions: April Exclusions & Notable Decisions

OIG Enforcement Actions: Exclusions & Notable Decisions from April 2019(May 10, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), has [...]

California Exclusion List Screening Requirements

What are the California Exclusion List Screening requirements? The Medi-Cal Program will not pay for any item or service furnished directly or indirectly by [...]

OIG Summary of March 2019

OIG Enforcement Actions: Notable Decisions from March 2019 (April 2, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), has continued [...]

OIG Enforcement Actions: Notable Decisions from March 2019

(April 2, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), has continued its goal of enforcing its guidelines [...]

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In-Depth Articles

Medicare / Medicaid Providers Beware: A Nolo Contendere Plea to a Non-Health Care Crime Can Still Result in Exclusion from Medicare

(March 3, 2022): The last two years have been rough for everyone, and it has been particularly difficult for health care providers and suppliers. [...]

The Proposed Expansion of CMS’ Revocation Authority Makes Monthly Exclusion Screening of ALL Employees More Important than Ever!

(November 2, 2021): The Centers for Medicare and Medicaid Services (CMS)[1] is the Federal agency tasked with the overall responsibility of managing the Medicare [...]

When an Underlying Misdemeanor or Felony Conviction is Expunged, Does That Extinguish an Exclusion Action?

When an Underlying Misdemeanor or Felony Conviction is Expunged, Does That Extinguish an Exclusion Action?(October 25, 2021): Medicare and Medicaid providers / suppliers are [...]

North Carolina Exclusion Screening Requirements

To understand the North Carolina Exclusion Screening Requirements, we must first touch upon Exclusions in general. Office of Inspector General (OIG) exclusions are one [...]

Comparison between OIG Exclusion List and CMS Preclusion List

[caption id="attachment_63029" align="aligncenter" width="800"] OIG Exclusion List vs. CMS Preclusion List[/caption]Since the CMS Preclusion list was announced in April 2018, and then published in [...]

What is the Length of A Mandatory Exclusion?

What is the Length of a Mandatory Exclusion?(January 8th, 2021): The Department of Health and Human Services (HHS), Office of Inspector General (OIG) is [...]

What is the Scope of a Mandatory Exclusion Brought Under Section 1128(a)(4) of the Social Security Act (Act)?

(December 22nd, 2020): The Department of Health and Human Services (HHS), Office of Inspector General (OIG) exercises both mandatory and permissive exclusion authority with [...]

Why is it Necessary to Screen Against the NPPES Registry?

Why is it Necessary to Screen Against the NPPES Registry? (December 7th, 2020): We are sometimes asked “Why do you screen against the National Plan [...]

Exclusion Actions Under 42 U.S.C. § 1320a-7(b)(5)(B) — The Collateral Consequences of a State Medicaid Enrollment Termination Action

Exclusion Actions Under 42 U.S.C. § 1320a-7(b)(5)(B) (November 2020): Since 1976, the Department of Health and Human Services (HHS), Office of Inspector General (OIG) has [...]

A State Conviction for “Patient Neglect” Will Result in Mandatory Exclusion from Participation in Federal Health Benefit Programs

A State Conviction for “Patient Neglect” Will Result in Mandatory Exclusion from Participation in Federal Health Benefit Programs (March 27, 2020): The Department of Health [...]

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Paul Weidenfeld	Robert W. Liles
Co-Founders: Exclusion Screening, LLC