Exclusion Screening

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Recent OIG Penalties & Affirmative Exclusions

Advanced Garden State Cardiology Agreed to Pay $159,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual and Submitting Claims for Services Provided by an Unlicensed and Excluded Individual

September 14, 2023 – After it self-disclosed conduct to OIG, Advanced Garden State Cardiology, LLC (AGSC), New Jersey, agreed to pay $159,114.10 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that AGSC employed an individual that it knew or should have known was unlicensed as well as excluded from participation in Federal health care programs. OIG also alleged that AGSC employed a second individual that it knew or should have known was excluded from participation in Federal health care programs.

Ascension Providence Rochester Hospital Agreed to Pay $545,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

August 24, 2023 – After it self-disclosed conduct to OIG, Ascension Providence Rochester Hospital (Ascension Providence), Michigan, agreed to pay $545,834.37 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Ascension Providence employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

Gosnold Behavioral Health Agreed to Pay $23,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

August 16, 2023 – After it self-disclosed conduct to OIG, Gosnold, Inc. d/b/a Gosnold Behavioral Health (Gosnold), Massachusetts, agreed to pay $23,998.12 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Gosnold employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

Community Home Physicians Agreed to Pay $74,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

August 11, 2023 – After it self-disclosed conduct to OIG, Community Home Physicians, LLC (CHP), Illinois, agreed to pay $74,122.96 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that CHP employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

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    Understanding OIG Exclusions

    OIG Exclusions Screening Process

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    Quick OIG Exclusion Basics

    Employing Excluded Individuals

    Consequences to Employing an Excluded Individual

    OIG Compliance Law

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