Resolving Exclusion Violations through the OIG Self-Disclosure Protocol
I. Introduction The Office of Inspector General (OIG) has the authority to exclude providers from participating in federal health care…
Medicare / Medicaid Providers Beware: A Nolo Contendere Plea to a Non-Health Care Crime Can Still Result in Exclusion from Medicare
(March 3, 2022): The last two years have been rough for everyone, and it has been particularly difficult for health…
The Proposed Expansion of CMS’ Revocation Authority Makes Monthly Exclusion Screening of ALL Employees More Important than Ever!
(November 2, 2021): The Centers for Medicare and Medicaid Services (CMS)[1] is the Federal agency tasked with the overall responsibility…
When an Underlying Misdemeanor or Felony Conviction is Expunged, Does That Extinguish an Exclusion Action?
When an Underlying Misdemeanor or Felony Conviction is Expunged, Does That Extinguish an Exclusion Action? (October 25, 2021):…
What is the Length of A Mandatory Exclusion?
What is the Length of a Mandatory Exclusion? (January 8th, 2021): The Department of Health and Human Services (HHS), Office…
What is the Scope of a Mandatory Exclusion Brought Under Section 1128(a)(4) of the Social Security Act (Act)?
(December 22nd, 2020): The Department of Health and Human Services (HHS), Office of Inspector General (OIG) exercises both mandatory and…
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
A State Conviction for “Patient Neglect” Will Result in Mandatory Exclusion from Participation in Federal Health Benefit Programs (March 27,…
Current States With Separate Exclusion Databases
I. Medicaid Exclusion Exclusion Screening, LLC conducts monthly checks of our clients’ employees, contractors, and vendors against the OIG-LEIE, GSA-SAM,…
California Exclusion List Screening Requirements
What are the California Exclusion List Screening requirements? The Medi-Cal Program will not pay for any item or service furnished…