So…you're excluded. Your name is posted on the OIG's List of Excluded Individuals and Entities (LEIE), and the exclusion is following you around like a Scarlet Letter wherever you go, preventing you from working for or with any healthcare company that bills Medicare/Medicaid.
But there's some good news…in most cases, you can be reinstated. Here's how:
IMPORTANT: Reinstatement of excluded entities and individuals is NOT an automatic process once the specified period of an exclusion ends. Most exclusions have a specific term length, often 5 years. At the end of your OIG exclusion term, you MUST apply for reinstatement and receive authorize notice from the OIG that your request was granted.
Excluded providers may begin the process of reinstatement 90 days before the end of the excluded period. Premature requests for reinstatement will not be considered, so be mindful of when you can apply.
Here's the step by step process of applying for reinstatement:
- To apply for reinstatement, send a written request to the OIG at the address below:
HHS, OIG, OI
P.O. Box 23871
Washington, D.C. 20026
- Upon receiving your written request, the OIG will then provide Statement and Authorization forms that you must complete, sign, and return.
- The OIG will evaluate the information on these forms and will send a written notification of the OIG's final decision on reinstatement directly to you.
This process typically requires up to 120 days to complete, but can take longer (and has).
If the OIG grants your written request for reinstatement (and provides you with notice in writing), then you're off the list!
However, it's always good to double-check. If the OIG denies your written request for reinstatement, you may reapply after 1 year.
While the process of reinstatement can be long and arduous, following the established procedures in order (and at the right point in time) can effectively get your name off of the OIG exclusion list.
Simply follow directions, fill our the forms in their entirety, and don't apply before 90 days prior to the end of your excluded term, and you should be OK.
Best of luck!
Written by: Michael Rosen | ProviderTrust co-founder