Exclusion

Health Care Providers Should Consider the Ramifications of “Taking a Plea” in a Criminal Case or Agreeing to a Licensure Action. It May Trigger a Mandatory or Permissive OIG Exclusion Action.

Perhaps the most severe administrative sanction available under the Social Security Act stems from the authority of the Secretary for…

Personal Care Service Aides and Attendants Excluded in 2017

(January 22, 2018): With 2017 behind us, it can be quite helpful to review the Medicare “exclusion” actions taken by the…

Dental OIG Exclusions – A Review of 2017 Actions.

(January 12, 2018):  The Medicare and Medicaid programs are both essential, yet costly health benefit programs sponsored in whole or…

The Released Year in Review OIG Podcast

Year in Review OIG Podcast Earlier this week, the Office of Inspector General released its “Year in Review” OIG Podcast…

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…

Excluded Dentist Pays Record $1.1 Million and Agrees to 50 Year Exclusion

Exclusion Violation by Dentist “Sends a Strong Warning” February 1, 2017 By Paul Weidenfeld The Office of the Inspector General’s…

OIG Issues Final Rule Expanding Exclusion Authority

By Paul Weidenfeld January 23, 2017 On January 12, 2017, the Office of Inspector General published a final rule finalizing…

What Medical Practices Need to Know About OIG Exclusion Screening

[1] The Office of Inspector General (OIG) has steadily increased its enforcement of OIG Exclusion Screening violations since the issuance of…

OIG Issues Updated Criteria for Implementing Its Permissive Exclusion Authority

On April 18, 2016, the Department of Health and Human Services, Office of Inspector General (HHS-OIG) issued updated criteria for…

Who Is to Blame for Gaps in OIG and State Exclusion Lists? What Is the Impact on Providers?

The failure to report excludable offenses by state Medicaid offices and licensing boards is a longstanding issue for the OIG….