It's generally a fairly simple concept that an entity that hires or contracts an excluded individuals is subject to monetary penalties. But what happens when those lines get a little fuzzier? A bulletin released by the OIG last month, presents...
President’s Proposed Budget Will Provide Additional Funding To The OIG
Due to demographic evolution of the U.S. population, and the increasing age of the baby boomers, it is very likely that healthcare will be the fastest growing segment of the economy in the near future. That being the case, the...
The Office of Inspector General Defends Its Practices
The OIG is used to putting healthcare enterprises firmly on the defensive, but this month it ended up answering some rather tough questions of its own. According to information published by the National Law Review, the OIG recently responded to...
13 Days, 250K in OIG Fines
Looks like the OIG means business. Over the course of the past 13 days, over $250,000 in fines have been meted out due to the alleged employment of excluded individuals. The first involved a Minnesota pharmacist who owned and managed...
What’s New In The OIG 2015 Work Plan?
Have you reviewed the 2015 Work Plan yet to see how it may affect you? ...
Are all excluded individuals criminals?
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 be the result of a host of...
Once excluded, never reinstated?
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're learning that even reinstatement is...
The OIG Goes Digging
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 later, the episode closed with a fine of $357,341.96. Daybreak...
Tracking the OIG Exclusion Trends
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...































