The Great Exclusion Snowball

Posted by Frank Strafford on September 21, 2015 in Industry News,

The Great Exclusion SnowballGlobal warming and the Artic freeze are not our forte, but we’ve granted ourselves the liberty of forecasting what our ‘weathermen’ see coming up on the horizon: The Great Exclusion Snowball.

Over two months ago, we blogged about the the OIG alert targeting small-time medical practices.  Last week, Greenberg Traurig LLP reported on Lexology that the OIG introduced a new task force, consisting of 10 attorneys focused on issuing CMPs (civil monetary penalties) and exclusions to physicians convicted of overbilling and kickbacks.  In practical terms, we’ve seen the numbers of excluded individuals climbing exponentially from year to year – along with the number and dollar amount of fines issued as a result of employing them.

All of which leads us to believe that we are standing at the cusp of The Great Exclusion Snowball.

It is so easy for the OIG to exclude a provider from doing business with Medicaid and Medicare.  It’s a penalty that is simple to enforce, and perceived as fair in the public eye.  And that is why it is a punishment that will likely only continue to increase in popularity as time goes on.

So keep your scarf on.  Looks like we’re in for some nasty weather.

About Frank Strafford

About Frank Strafford

Related Articles

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 c...

Note to Florida Scammers: Exclusion Status ...

October 1, 2021

In April of 2021, defendants Stephanie Fleming and Helen Storey were convicted of multiple counts of health care fraud in federal district court in Florida. The defendants were found guilty of conspir...

Can OIG Exclusion Wreck My Career ...

August 3, 2015

We picked this one up from allnurses.com, an open forum for nurses and nursing students. HELP! I just learned that I've been on the OIG Exclusion list since Jan 2003 following my RN license surrender ...

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

Our Culture

We build the best, so you can perform at your best.

Trusted for Good Reason

  • ✓ Guaranteed accurate
  • ✓ Certified Secure
  • ✓ Audit Proof
  • ✓ Feature-rich reporting
  • ✓ Round the clock real-time-data
  • ✓ Processing fully automated

Security First

  • ✓ Cloud hosted
  • ✓ Encrypted data
  • ✓ Real-time backups

Trusted for Accuracy

  • ✓ Physical security
  • ✓ Restricted access
  • ✓ Single sign-on
  • ✓ Password security
  • ✓ Certified secure
  • ✓ Cross checking

HEALTHCARE ESTABLISHMENTS NATIONWIDE COUNT ON STREAMLINE VERIFY

5

60%

Average workload reduction by implementing the Streamline Verify program

5

10K

Establishments trust Streamline Verify nationwide

5

2011

Serving the healthcare industry’s unique compliance needs since 2011

5

24X

Setting standards with hourly synchronization to primary source data