Action

Significant Recent Trends in Exclusion Case Settlements

The Office of the Inspector General (OIG) has recently entered into a number of exclusion case settlements tied to skilled nursing facilities…

Medicare / Medicaid Providers Beware: A Nolo Contendere Plea to a Non-Health Care Crime Can Still Result in Exclusion from Medicare

The last two years have been rough for everyone, and it has been particularly difficult for healthcare providers and suppliers….

The Proposed Expansion of CMS’ Revocation Authority Makes Monthly Exclusion Screening of ALL Employees More Important than Ever!

The Centers for Medicare and Medicaid Services (CMS)[1] is the Federal agency tasked with the overall responsibility of managing the…

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…

OIG Enforcement Actions: Notable Decisions from March 2019

(April 2, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), has continued its goal…

February Recap of OIG Enforcement Actions: Notable Decisions 

(March 1, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), has continued its goal…

OIG Enforcement Actions: Notable Decisions from January 2019

(February 6, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), didn’t skip a beat…

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…

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…

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…