Effect of an Exclusion

The importance of screening employees, vendors and contractors against available federal and State exclusion...

I. Introduction The Office of Inspector General (OIG) has the authority to exclude providers from participating...

The last two years have been rough for everyone, and it has been particularly difficult for healthcare...

The Centers for Medicare and Medicaid Services (CMS)[1] is the Federal agency tasked with the overall...

Medicare and Medicaid providers / suppliers are prohibited from employing individuals who have been excluded...

The Department of Health and Human Services (HHS), Office of Inspector General (OIG) may be required...

After finding a confirmed exclusion among your employees, vendors, contractors, or volunteers there are...

Should you choose to participate in the Medicare and/or Medicaid programs, you must comply with a wide...

Perhaps the most severe administrative sanction available under the Social Security Act stems from the...

(January 8, 2018):  Most physicians will progress through their entire career without ever having...

The recently issued Resource Guide for Measuring Compliance Program Effectiveness, reconfigures the traditional...

By Paul Weidenfeld The new Final Rule issued by CMS revising the conditions of participation for home...

The failure to report excludable offenses by state Medicaid offices and licensing boards is a longstanding...

In early August of 2015, the Southern District of New York (SDNY) provided insight as to when the...

The Affordable Care Act (ACA) creates a 60‑day window to report and return overpayments from Medicare...

I.  Advisory Opinion on Payments for Services Provided Prior to Exclusion The Department of Health...

Providers are often surprised to learn that a person can be excluded from participation in federal health...

I. Provider Self-Disclosure Protocol: New Guidance Sheds Light on Disclosure On April 17, 2013, the Office...