DOJ Files Another False Claims Act Case Based on OIG Exclusion Violations
DOJ Pursuing Action on Two Separate OIG Exclusion Violations The U.S. Attorney’s Office in Philadelphia filed a False…
Category Exclusion Screening
Exclusion screening is the federal and state compliance obligation to verify that healthcare employees, vendors, and contractors are not barred from participating in Medicare, Medicaid, or other federally-funded programs. Every healthcare provider that bills a federal program is required to screen upon hire and monthly thereafter against the OIG LEIE, GSA/SAM, and all 44 state Medicaid exclusion lists. Failure to screen exposes providers to civil money penalties of up to $24,947 per violation, overpayment liability, and potential False Claims Act exposure. This section of the site is the definitive hub for exclusion screening compliance: the pillar guides, state-by-state requirements, enforcement trends, and the regulatory framework explained by the former federal prosecutors who built it.
Read MoreDOJ Files Another False Claims Act Case Based on OIG Exclusion Violations
Exclusion Alert: Assistant Inspector General Tells Congress That Exclusion Violations Plague Part D
Assistant Inspector General Testifies before Congress Ann Maxwell, the Assistant Inspector General for Evaluation and Inspections, recently testified…
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…
Exclusion Screening of Contractors and Vendors
By now, providers should be aware that the Office of Inspector General (OIG) requires exclusion screening of contractors and…
Exclusion Screening Basics for Providers
Exclusion Screening Is Mandatory Providers of medical services that participate in Federal or State Health Care Programs are…
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…
Exclusion Case Review: 1st Quarter of 2015 Evidences an Increase in Enforcement Efforts by OIG
(This article was originally posted in the National Alliance of Medical Auditing Specialists‘ “Tip of the Week”) At…
HHS/OIG Excludes Illinois Home Health Agency for Exclusion Violation!
Home Health Agency Excluded for Employing Excluded Nurse HHS/OIG recently issued a press release announcing that it had…