I Have a Confirmed Exclusion What are my Options
After finding a confirmed exclusion among your employees, vendors, contractors, or volunteers there are several options you can take. Each…
Pennsylvania Doctor Excluded in Connection with Quality of Care
Over the past year, both State and Federal law enforcement investigators and prosecutors have gone to considerable lengths to publicize…
OIG Semiannual Report to Congress: Fall 2018-Spring 2019
The Office of Inspector General (OIG) recently published its Semi-Annual Report to Congress covering from October 1, 2018 to March…
Alabama Exclusion Screening Requirements
(May 2, 2019) The Alabama Medicaid Program imposes significant exclusion screening requirements on its providers. Many are unaware of the extent…
New Evidence Shows the Efficiency and Benefits of Using an Internal Compliance Hotline System
(April 4, 2019): In December of 2018 a study was conducted by Kyle Wench (George Washington University) and Stephen Stubben…
Health Care Fraud to Remain a DOJ Priority
Exclusion News (May 22, 2017): By Paul Weidenfeld Health Care Fraud will continue to be a high priority of the…
The New “Seventh Element” of Compliance: Screening and Evaluating Employee Suitability!
The recently issued Resource Guide for Measuring Compliance Program Effectiveness, reconfigures the traditional formulation of the “Seven Elements of an…
Home Health Final Rule Extends Exclusion Screening Obligation: Failure to Screen Could Result in Termination from Medicare
By Paul Weidenfeld The new Final Rule issued by CMS revising the conditions of participation for home health agencies (HHAs) requires…
Pharmacies Targeted for Exclusion Violations by OIG and States
In what appears to be a growing enforcement trend, the Department of Health and Human Services, Office of Inspector General…
Excluded Dentist Pays Record $1.1 Million and Agrees to 50 Year Exclusion
Exclusion Violation by Dentist “Sends a Strong Warning” February 1, 2017 By Paul Weidenfeld The Office of the Inspector General’s…