Exclusion

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…

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…

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…

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…

A Review of OIG Enforcement Actions in Fiscal Year 2018

By Cason Liles (February 6, 2019): The Department of Health and Human Services (HHS), Office of Inspector General (OIG) is an…

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…

OIG Exclusion Case Study: The Impact of a False Claims Act Judgment.

(August 23, 2018): In 2008, after learning that a Texas-based laboratory services company was submitting false claims to the Medicare…