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 Illinois home health agency participation in all Federal health programs as a result of its employment of an excluded nurse. OIG’s investigation revealed that the home care service had billed the Federal health care programs for services provided by the excluded nurse to both Medicare and Medicaid beneficiaries.

An Unprecedented Move by HHS/OIG

As far as we can tell, this is the first time that this has been the basis of an exclusion, and it further evidences the ongoing enforcement interest that the OIG has in exclusion violations. The exclusion became effective March 19, 2015, and participation in Federal health care programs for a period of three years. It is also worthy of note that the OIG staffed the case with two Senior Counsels and a Paralegal Specialist, Eula Taylor.

If your practice doesn’t screen for exclusions, give the experts at Exclusion Screening, LLCSM a call at 1-800-294-0952 or fill out our assessment of needs and costs.

Paul Weidenfeld, Co-Founder and CEO of Exclusion Screening, LLC, is the author of this article. He is a longtime health care lawyer whose practice has focused on False Claims Act cases and health care fraud matters generally. Contact Paul should you have any  questions at: pweidenfeld@exclusionscreening.com or 1-800-294-0952.

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