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…
Category Effect Of An Exclusion
Read MoreWho Is to Blame for Gaps in OIG and State Exclusion Lists? What Is the Impact on Providers?
Southern District of New York Provides Clarity on “Identifying” Overpayments
In early August of 2015, the Southern District of New York (SDNY) provided insight as to when the 60-day…
Recent Developments on the 60-day Rule and the Potential Impact on Exclusion Violations
The Affordable Care Act (ACA) creates a 60‑day window to report and return overpayments from Medicare or Medicaid…
OIG Issues Advisory Opinion on Exclusions
I. Advisory Opinion on Payments for Services Provided Prior to Exclusion The Department of Health and Human Services…
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…
OIG Provides Guidance on Disclosures for Conduct Involving Excluded Persons in the Updated Self-Disclosure Protocol
I. Provider Self-Disclosure Protocol: New Guidance Sheds Light on Disclosure On April 17, 2013, the Office of the…