IntroductionUnder Sections 1128 and 1156 of the Social Security Act (the “Act”), the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services (“HHS”) has authority to exclude from participation in Federal health care programs and...
The Often-Unknown Impact of OIG Exclusions
March 8, 2021
Search the internet on OIG enforcement and you will eventually find articles about nurses, physicians, pharmacists and other licensed medical personnel and their travails related to OIG exclusion. A common theme running through the articles is how unaware most were...
Permissive Exclusions Updates from the OIG to 1128(b)(7)
May 2, 2016
Recently on April 18, 2016, the Inspector General of the famed OIG issued a review and updates on their exclusion policies and how they go about permissive exclusions. The OIG was established back in 1976 in order to prevent future healthcare...
OIG Exclusion Made EASY
February 9, 2016
The U.S. Department of Health and Human Services established The Office of Inspector General (OIG) to carry out these basic functions: The identification and elimination of fraud, waste, and abuse of the programs initiated by the U.S. Department of Health...
How Mandatory Exclusions Differ from Permissive Exclusions
January 28, 2015
Do you know the differences between Mandatory and Permissive Exclusions? Mandatory Exclusions, as the name presumes, are compulsory for a five year minimum term, when an individual has committed any of the applicable criminal offenses (listed below). The OIG is...
