A person can end up on the OIG List of Excluded Individuals for a range of reasons and the main effect of being excluded is that individuals cannot receive payment through Medicare, Medicaid or any other federal health c...

Organizations that bill Medicare, Medicaid and other federal healthcare programs should ideally check exclusion lists once a month after the initial hire. There are a few exceptions to the tight regulations surrounding...

When you're hiring a contractor or employee to provide healthcare, it's important to your organization and your patients that you only hire the best. But how can you identify the best healthcare workers? Top healthcare...

If a medical provider has been excluded from participation in Federal and State healthcare programs, does that mean that s/he is a criminal? Not necessarily. Exclusion from Federal and State healthcare programs can b...

In a previous post, we made the wry observation that even death can't get an excluded individual off of the LEIE - unless the deceased undertakes (no pun intended) official reinstatement protocols.  As it happens, we'r...

It was completely unexpected. One fine day in March, Texas-based corporation Daybreak Venture, LLC, received a letter stating that excluded individuals had been discovered amongst its employee rosters.  Seven months la...

OIG exclusion screening is an important way to stay on the good side of the Office of the Inspector General and ensure you get the Medicare and Medicaid services you need to operate. Most employers screen for OIG healthc...

Despite all of the technological advances in the field of OIG exclusion verification, separating real matches from false ones is still an exercise in frustration. Assuming you've got the right software, a typical OIG ex...

Is the OIG getting even tougher? Something to think about.  On October 31st, the OIG released its 2015 Work Plan, which, to quote the OIG, "summarizes new and ongoing reviews and activities that OIG plans to pursue wi...