09-18-2017 New York Pharmacy Settles Case Involving Excluded Individual

On September 18, 2017, Century Pharmacy (Century), Brooklyn, New York, entered into a $10,000 settlement agreement with OIG. The settlement agreement resolves allegations that Century employed an individual who was excluded from participating in any Federal health care programs. OIG’s investigation revealed that the excluded individual, who assisted in filling prescriptions in addition to performing…

09-15-2017 Texas Mental Health Facility Settles Case Involving Excluded Individual

On September 15, 2017, Sundance Behavioral Healthcare System (Sundance), Texas, entered into a $49,183.48 settlement agreement with OIG. The settlement agreement resolves allegations that Sundance employed an individual who was excluded from participating in any Federal health care programs. OIG’s investigation revealed that the excluded individual, a licensed vocational nurse, provided items or services to…

08-11-2017 Texas Home Health Company Settles Case Involving Excluded Individual

On August 11, 2017, ASAP Professional Home Health (ASAP), Houston, Texas, entered into a $21,797.76 settlement agreement with OIG. The settlement agreement resolves allegations that ASAP employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, an attendant, provided items or services to ASAP…

06-20-2017 Florida Pharmacy Settles Case Involving Excluded Individual

On June 20, 2017, Linton Square Pharmacy & Medical Supplies, Inc. (Linton Square), Delray Beach, Florida, entered into a $339,956.05 settlement agreement with OIG. The settlement agreement resolves allegations that Linton Square employed an individual who was excluded from participating in any Federal health care programs. OIG’s investigation revealed that the excluded individual, a pharmacist,…

11-30-2016 New York Skilled Nursing Facility Settles Case Involving Excluded Individual

On November 30, 2016, Ditmas Park Rehab/Care Center (Ditmas Park), Brooklyn, New York, entered into a $205,089.22 settlement agreement with OIG. The settlement agreement resolves allegations that Ditmas Park employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a licensed practical nurse, provided…

08-31-2016 Texas Pharmacy and Pharmacy Manager Settle Case Involving Excluded Individual

On August 31, 2016, Lifechek 336 Pharmacy, LLC, Lifechek Staff Services, Inc., and Bruce Gingrich (collectively, “Lifechek”), Texas, entered into a $30,000 settlement agreement with OIG. The settlement agreement resolves allegations that Lifechek employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a…

10-17-2017 Texas Mental Health Provider Settles Case Involving Excluded Individual

On October 17, 2017, MHMR of Tarrant County (MHMR), Fort Worth, Texas, entered into a settlement agreement with OIG. The settlement agreement resolves allegations that MHMR employed an individual who was excluded from participation in any Federal health care programs. OIG’s investigation revealed that the excluded individual, a program director, provided items or services to…

Why conduct Exclusion monitoring?

Here are a few reasons to conduct exclusion monitoring. 1. Healthcare organizations cannot employ an excluded individual or entity if participating in any Federal healthcare program, to do so will result in fines. 2. Several State Medicaid Agencies have their own state exclusion list. 3. Several State Medicaid Regulations require monthly exclusion monitoring. 4. Per…