An Overview of the Medi-Cal Suspended and Ineligible Provider List
Most healthcare providers and suppliers in the State of California are aware that exclusions imposed by the Department of Health…
A Provider’s Guide to OIG Exclusions
Federal Exclusion Regulations and Enforcement Authorities, and How Providers Can Avoid Risk with Proper Exclusion Screening Office of Inspector General…
What is an OIG Exclusion?
OIG Exclusions are powerful enforcement sanctions that bar an individual or entity from any participation in Federal and State health…
Why Should We Screen Against the Social Security Administration Death Master File?
At Exclusion Screening, we often receive questions about the scope and frequency of an organization’s screening duties and responsibilities. One…
Resolving Exclusion Violations through the OIG Self-Disclosure Protocol
I. Introduction The Office of Inspector General (OIG) has the authority to exclude providers from participating in federal health care…
Medicare / Medicaid Providers Beware: A Nolo Contendere Plea to a Non-Health Care Crime Can Still Result in Exclusion from Medicare
The last two years have been rough for everyone, and it has been particularly difficult for healthcare providers and suppliers….
The Proposed Expansion of CMS’ Revocation Authority Makes Monthly Exclusion Screening of ALL Employees More Important than Ever!
The Centers for Medicare and Medicaid Services (CMS)[1] is the Federal agency tasked with the overall responsibility of managing the…
When an Underlying Misdemeanor or Felony Conviction is Expunged, Does That Extinguish an Exclusion Action?
Medicare and Medicaid providers / suppliers are prohibited from employing individuals who have been excluded from participation in Federal health…
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…
Comparison between OIG Exclusion List and CMS Preclusion List
Since the CMS Preclusion list was announced in April 2018, and then published in January 2019, there has been confusion…