What is an Exclusion Waiver and Who May Apply for one?
We have previously discussed that once a provider is excluded he may not furnish items or services paid for…
Tag Exclusion
Read MoreWhat is an Exclusion Waiver and Who May Apply for one?
California Exclusion List Screening Requirements
What are the California Exclusion List Screening requirements? The Medi-Cal Program will not pay for any item or…
How the LEIE, GSA/SAM, and State Exclusion Lists Differ; And Why They Need to be Screened
Exclusions and debarments are powerful administrative sanctions imposed by Federal and State agencies. They are intended to protect…
What is an OIG Exclusion?
OIG Exclusions are powerful enforcement sanctions that bar an individual or entity from any participation in Federal and…
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…
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 health care…
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…
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…