Excluded Individual Conducts Elaborate Health Care Fraud Scheme
The owner of a New Jersey ambulance company was indicted for health care fraud in mid-August of 2015. The…
DOJ Files Another False Claims Act Case Based on OIG Exclusion Violations
DOJ Pursuing Action on Two Separate OIG Exclusion Violations The U.S. Attorney’s Office in Philadelphia filed a False Claims Act…
Exclusion Alert: Assistant Inspector General Tells Congress That Exclusion Violations Plague Part D
Assistant Inspector General Testifies before Congress Ann Maxwell, the Assistant Inspector General for Evaluation and Inspections, recently testified before Congress….
OIG Announces Creation of Special Unit for CMP and Exclusion Litigation
Exclusion Screening, LLC has been chronicling the Office of Inspector General’s (OIG) interest in exclusion enforcement for quite some time….
DOJ Announces New FCA Settlements involving Excluded Persons including a $6.5 Million Settlement involving Services Provided by a Private Duty Nurse Investigated by OIG
The Department of Justice (DOJ) recently announced two new False Claims Act (FCA) settlements involving excluded persons. The first was a…
Exclusion Case Review: 1st Quarter of 2015 Evidences an Increase in Enforcement Efforts by OIG
(This article was originally posted in the National Alliance of Medical Auditing Specialists‘ “Tip of the Week”) At Exclusion…
HHS/OIG Excludes Illinois Home Health Agency for Exclusion Violation!
Home Health Agency Excluded for Employing Excluded Nurse HHS/OIG recently issued a press release announcing that it had excluded an…
Hospital Enters into False Claims Settlement for Employee with Lapsed License
I. Hospital Employed Therapist with Lapsed License The Department of Justice (DOJ) entered into a settlement with a nonprofit Michigan hospital this…
DC Contractor for Dental Providers Indicted for False Claim
I. Fraud Found in HHS’ Backyard A Virginia contractor for dental providers was recently indicted by a grand jury on…
Review of February, 2014 Exclusion Cases: Focus on Nursing Homes Remains High and the Cost of Violations Rise
I. OIG Targets Nursing Homes Last year almost half of the exclusion violation matters reported by the Office of the…