Personal Care Service Aides and Attendants Excluded in 2017
(January 22, 2018): With 2017 behind us, it can be quite helpful to review the Medicare “exclusion” actions taken by the…
OIG Issues Final Rule Expanding Exclusion Authority
By Paul Weidenfeld January 23, 2017 On January 12, 2017, the Office of Inspector General published a final rule finalizing…
OIG Issues Updated Criteria for Implementing Its Permissive Exclusion Authority
On April 18, 2016, the Department of Health and Human Services, Office of Inspector General (HHS-OIG) issued updated criteria for…
Exclusion Loophole: Medicaid Managed Care
In August, we discussed an OIG audit, which revealed that Medicaid providers who were terminated for cause were often able…
Medicaid Providers That Are Excluded or Terminated for Cause Often Continue to Participate in Other States According to a New OIG Audit
OIG Audit Findings In a recently released audit, the OIG found that despite the ACA requirement that states terminate…
OIG Releases Medicaid Fraud Control Unit (MFCU) Annual Report for FY2014
I. Gains in State Exclusion Enforcement Efforts Highlighted The Office of the Inspector General’s (OIG) annual Report for the State Medicaid…
Medicare and Medicaid Exclusion Screening Compliance: A Challenging Problem with a Surprisingly Simple Solution©
Since August 2014, the Office of Inspector General (OIG) has collected roughly $3.75 Million in Civil Money Penalties (CMPs) in cases…
Alert to Florida Providers Regarding Screening
I. Florida’s State Exclusion. Excluded Providers Costs OIG Over 2.7 Million The Office of the Inspector General (OIG) recently released…
CMS Finds Fault with Exclusion Information Sharing Between States
I. Take It from CMS: If You’re Excluded in One State, You’re Excluded in All States Section 6401(b)(2) of the…