Excluded

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…

Can a Medicare Provider or Supplier Hire an Excluded Individual or Enter in a Contract with an Excluded Entity on the Medicare Exclusion List?

Should you choose to participate in the Medicare and/or Medicaid programs, you must comply with a wide variety of program…

OIG Imposes Record Penalties for Exclusion Violations

OIG Imposes Record $21.5 Million in Penalties for Exclusion Violations! The OIG imposed a record $21.5 million civil money penalties…

Health Care Fraud: Second Conviction Secured in Michigan Excluded Provider Scheme

In February, we reported that the Michigan Attorney General secured a racketeering and health care fraud conviction against an excluded…

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…

Medicaid Providers That Are Excluded or Terminated for Cause Often Continue to Participate in Other States According to a New OIG Audit

  OIG Audit Findings In a recently released audit, the OIG found that despite the ACA requirement that states terminate…

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….

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…