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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

OIG, Fraud and Abuse, exclusions, OIG Exclusion, exclusions list

Seven Things You Might Not Know About OIG Exclusions

Posted by Michael Rosen, ESQ on Tue, Feb 14, 2017

If you work in health care, you are certainly no stranger to the terms “OIG “ and “exclusion.” In fact, you have likely had a nightmare or two on the subject, especially if you work in compliance. While the terms are a hot topic in the health care industry, there is still a lot of mystery surrounding the OIG exclusion process and what is "OIG exclusion list."

Keep reading to discover 7 not-so-obvious things you should know about OIG exclusions:

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Fraud and Abuse, Penalties and Fines, exclusions

50 is the New 20: First 50-Year Exclusion Imposed

Posted by Michael Rosen, ESQ on Thu, Jan 26, 2017

What happens if you are unlicensed, excluded, own a dental practice, bill CMS for federally reimbursed heatlhcare services and submit false claims?  To compare to the game Monopoly, you quickly go past jail and pay $1.1M as well as agree to one of the longest exclusions ever with the OIG.   

OIG alleged that from November 2005 through October 2012, Brookhim owned, controlled, and managed Associated Dental NP, LLC (ADNP), a New Jersey dental practice with multiple locations, in violation of his exclusion from Federal health care program participation in August 2000.

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OIG, Penalties and Fines, exclusions, OIG Exclusion

How to Get Off the OIG Exclusion List

Posted by Michael Rosen, ESQ on Tue, Jan 03, 2017

You just found out 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. 

Now, what?

What exactly is the process for excluding individuals/entities?

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OIG Exclusion List, OIG, exclusions, compliance, OIG Exclusion, compliance program

The Best of 2016: Resources Just in Time for the New Year!

Posted by Michael Rosen, ESQ on Thu, Dec 29, 2016

ProviderTrust 2016 Resources

It's been a wonderful, busy year! There were many changes that took place in healthcare and more specifically, compliance. As we faced those challenges, we partnered with many of you to walk through those changes and ultimately, learn how to serve your compliance programs even better. 

We understand that new regulations effect how you perform you're job and the quality to which you do that work. It is very difficult to study, learn, and implement the changes in a timely manner, especially when it takes additional work on top of what you already do in order to keep up. 

Who has time for that? Well, we do! In this blog, we've got our best resources from 2016 - all in one place!

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OIG Exclusion List, exclusions, exclusion list, department of justice, exclusion, OIG Exclusion

Deputy Yates Has Something to Say...Yates Memo and the Department of Justice

Posted by Michael Rosen, ESQ on Thu, Dec 08, 2016

Yates Memo

Deputy Attorney General Sally Yates issued a sweeping and telling memo on September 9, 2015. The purpose of the Memo, issued a day after she gave new guidance to Department of Justice (DOJ) attorneys - outlining the importance of individual accountability in DOJ prosecutions, was to articulate several changes to DOJ policy, particularly regarding the definition of cooperation credit for corporations. 

Check out our popular OIG Exclusion list series

How to Get Off the OIG Exclusion List

Notice: OIG Background Check Requires OIG Exclusion Monthly Monitoring

The Difference Between OIG-LEIE and GSA Exclusion Lists

The gist of the sweeping memo was to alert prosecutors that punishment should reach those who perpetrated the fraud themselves, and not just a fine to the corporation.  This brings personal accountability and responsibility to a whole new level.

Deputy Yates wants you to know that the Justice Department is serious about accountability of bad actors and that individual accountability is real. She wants to make the marketplace a "level playing field".

Recently, Sally Yates provided more insight into the "Yates Memo"as it has become known.  

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