OIG Announces Creation of Special Unit for CMP and Exclusion Litigation
Exclusion Screening, LLC has been chronicling the Office of Inspector General’s (OIG) interest in exclusion enforcement for quite some time….
Exclusion Screening Basics for Providers
Exclusion Screening Is Mandatory Providers of medical services that participate in Federal or State Health Care Programs are required to…
DOJ Announces New FCA Settlements involving Excluded Persons including a $6.5 Million Settlement involving Services Provided by a Private Duty Nurse Investigated by OIG
The Department of Justice (DOJ) recently announced two new False Claims Act (FCA) settlements involving excluded persons. The first was a…
OIG Releases Medicaid Fraud Control Unit (MFCU) Annual Report for FY2014
I. Gains in State Exclusion Enforcement Efforts Highlighted The Office of the Inspector General’s (OIG) annual Report for the State Medicaid…
Medicare and Medicaid Exclusion Screening Compliance: A Challenging Problem with a Surprisingly Simple Solution©
Since August 2014, the Office of Inspector General (OIG) has collected roughly $3.75 Million in Civil Money Penalties (CMPs) in cases…
Review of February, 2014 Exclusion Cases: Focus on Nursing Homes Remains High and the Cost of Violations Rise
I. OIG Targets Nursing Homes Last year almost half of the exclusion violation matters reported by the Office of the…
Excluded Podiatrist Convicted of Racketeering and Health Care Fraud
I. Excluded Podiatrist Commits Health Care Fraud A Michigan podiatrist who was excluded from participation in the Federal health…
2014 In Review – OIG Crack Down on Exclusion Violations
I. CMPs doubled in OIG Exclusion Violations 2014 Exclusion Screening, LLCSM dedicates a significant amount of time to examining the…
OIG Trumpets Exclusions, New Actions and Recoveries in its Semi-Annual Report to Congress
I. OIG Report In the Office of the Inspector General’s (OIG) semiannual report to Congress, it claimed credit for excluding 2,297 individuals…
Student Loan Default Becoming a Top Reason for Exclusion
Providers are often surprised to learn that a person can be excluded from participation in federal health care programs because…