Exclusion Screening

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Boulevard Healthcare

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Randolph Diagnostics

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Valley Care Hospital

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Aspen Health

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Recent OIG Penalties & Affirmative Exclusions

Avantara Evergreen Park & company Agreed to Pay $10,000 for Employing an Excluded Individual

On November 8, 2020, after they self-disclosed conduct to OIG, Avantara Evergreen Park, Grove of Berwyn, and Grove of LaGrange (collectively, “Avantara, Berwyn, and LaGrange”), Illinois, agreed to pay $10,000 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Avantara, Berwyn, and LaGrange employed an individual that they knew or should have known was excluded from participation in Federal health care programs..

Dr. Hy Ngo Agreed to Pay $85,000 for Violating the CMP Law by Employing an Excluded Individual

On September 11, 2020, Hy Ngo, MD (Dr. Ngo), Los Angeles, California, entered into an $85,318.98 settlement agreement with OIG. The settlement agreement resolves allegations that Dr. Ngo employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a physician, provided items or services that were billed to Federal health care programs. Associate Counsel Jonathan Culpepper represented OIG..

Northern Lighthouse Agreed to Pay $29,000 for violating the CMP Law by Employing an Excluded Individual

On August 4, 2020, Northern Lighthouse, with multiple locations in Maine, entered into a $29,971.36 settlement agreement with OIG. The settlement agreement resolves allegations that Northern Lighthouse employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a direct support professional, provided items or services that were billed to Federal health care programs..

W. Sunrise Boulevard Operations, LLC d/b/a NSpire Healthcare Plantation (NSpire), Florida

After it self-disclosed conduct to OIG, 6932 W. Sunrise Boulevard Operations, LLC d/b/a NSpire Healthcare Plantation (NSpire), Florida, agreed to pay $51,252.71 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that NSpire employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

St. Mary’s Passaic, LLC d/b/a St. Mary’s General Hospital (St. Mary’s), New Jersey

After it self-disclosed conduct to OIG, St. Mary’s Passaic, LLC d/b/a St. Mary’s General Hospital (St. Mary’s), New Jersey, agreed to pay $32,192.43 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that St. Mary’s employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

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    Understanding OIG Exclusions

    OIG Exclusions Screening Process

    Exclusion FAQS

    Quick OIG Exclusion Basics

    Employing Excluded Individuals

    Consequences to Employing an Excluded Individual

    OIG Compliance Law

    Laws and Publications on OIG Compliance

    More Compliance Resources

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