Blog 1 Column Post

Blog 1 Column Post

When an Underlying Misdemeanor or Felony Conviction is Expunged, Does That Extinguish an Exclusion Action?

Medicare and Medicaid providers / suppliers are prohibited from employing individuals who have been excluded from participation in Federal health…

North Carolina Exclusion Screening Requirements

To understand the North Carolina Exclusion Screening Requirements, we must first touch upon Exclusions in general. Office of Inspector General…

Comparison between OIG Exclusion List and CMS Preclusion List

Since the CMS Preclusion list was announced in April 2018, and then published in January 2019, there has been confusion…

What is the NPDB?

I. What is the NPDB The National Practitioner Data Bank (NPDB) was created as part of the Health Care Quality…

What is the Length of A Mandatory Exclusion?

The Department of Health and Human Services (HHS), Office of Inspector General (OIG) is responsible for overseeing the financial and…

What is the Scope of a Mandatory Exclusion Brought Under Section 1128(a)(4) of the Social Security Act (Act)?

The Department of Health and Human Services (HHS), Office of Inspector General (OIG) exercises both mandatory and permissive exclusion authority…

Exclusion Actions Under 42 U.S.C. § 1320a-7(b)(5)(B) — The Collateral Consequences of a State Medicaid Enrollment Termination Action

Exclusion Actions Under 42 U.S.C. § 1320a-7(b)(5)(B)  (November 2020):  Since 1976, the Department of Health and Human Services (HHS), Office…

Which Federal & State Exclusion Lists Should Be Screened?

The complex web of regulation encompassing government health care dollars is a lot to take on. With 41 state exclusion…

A State Conviction for “Patient Neglect” Will Result in Mandatory Exclusion from Participation in Federal Health Benefit Programs 

The Department of Health and Human Services (HHS), Office of Inspector General (OIG) may be required by law under Section…

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…