Medicare exclusion

Medicare Exclusion Risks: Employing Excluded Individuals Can Result in Significant Administrative, Civil and / or Criminal Liabilities

Medicare, Medicaid & Private Payor Updates /

(May 8, 2023): One of the most severe administrative sanctions available under the Social Security Act stems from the authority of the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS)[1] to “exclude” individuals and entities from participating in Federal health care programs.[2] While the Centers for Medicare and […]

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Exclusion Screening / OIG Screening and Background Checks in Dental Practices

Dental Audits & Compliance /

(March 31, 2016): Many of the dental practices around the country do not participate in the Medicaid program and only a small number of dental practices provide services that might qualify for coverage under Medicare.  Notably, the fact that most dental practices only accept cash or a handful of private payor plans significantly reduces their

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Medicare Exclusion Screening is Essential to Compliance – Failure to Properly Screen Can be Costly

Medicare, Medicaid & Private Payor Updates /

(January 14, 2013): In recent years, we have represented physicians and a range of other health care providers in administrative litigation over “exclusion” related enforcement actions. One of the most severe sanctions available under the Social Security Act stems from the authority to exclude individuals and entities from participation in federal health care programs. Medicare

Medicare Exclusion Screening is Essential to Compliance – Failure to Properly Screen Can be Costly Read More »