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 with respect to HHS...
North Carolina OIG Exclusion Database: Down, but not done.
North Carolina's DMA (Division of Medical Assistance) has removed the NC OIG exclusion database from its website. "Temporarily," Curtis, a representative of the North Carolina DMA, reported when we contacted him. "While we're revamping the system." Life is always complicated in this field,...
Understanding the OIG’s List of Excluded Individuals/Entities
In order to protect Federal healthcare systems from unscrupulous employees and contractors, the Office of the Inspector General regularly updates a List of Excluded Individuals/Entities (LEIE) to help human resources departments streamline OIG screening processes. Federal health programs, including but...
OIG Exclusions: To disclose, or not to disclose…that is the question.
You've discovered an OIG exclusion blooper. Now what? If you're like most administrators, you'd probably opt to fire the excluded employee, bury the evidence, and hope that the OIG never finds out about it. After all, who in their right mind...
State of Florida Pays Out $180K for Pharmacy Items Prescribed by Excluded Individuals
With OIG fines topping $300K, perhaps it’s partial comfort to know that health care organizations are not the only ones getting nailed. In a recent disclosure, (https://go.usa.gov/X6d4), the State of Florida admitted to paying out $180,000 for pharmacy items prescribed...
Trying to Get Off the OIG Exclusion List? Death is no excuse.
Just the other day, a routine search of a client’s employee listings turned up a potential match on the Texas OIG site. As a pre-‘90s listing, there was no way to verify the social the way that I usually would,...































