Anyone working in the field of healthcare human resources should understand the role of the Office of the Inspector General in both investigating fraud related to federal health care programs and penalizing health organi...
Can You Be Paid Post-Exclusion for Services Rendered Prior to Exclusion?
March 2, 2015
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...
13 Days, 250K in OIG Fines
February 5, 2015
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 o...
2014 Exclusion Roundup
January 13, 2015
The OIG has wrapped up a successful year, recovering an expected $4.9 billion dollars for US taxpayers. Looking back over the year, we take note of the following points of interest: Over 4,000 individuals or entities...
OIG Exclusions: To disclose, or not to disclose…that is the question.
October 23, 2014
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 al...
State of Florida Pays Out $180K for Pharmacy Items Prescribed by Excluded Individuals
October 6, 2014
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 admitte...
