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…

New Jersey OB/GYN Settles Fraudulent Billing Allegations, Agrees to 20-Year Exclusion from Medicare, Medicaid

November 15, 2016 A New Jersey OB/GYN, Labib Riachi, agreed to be excluded from participation in Federal health care programs, including Medicare and Medicaid, for 20 years to settle allegations by the U.S. Department of Health and Human Services, Office of Inspector General (OIG), that Dr. Riachi submitted thousands of claims for Pelvic Floor Therapy…

Avoid the unknown & get checked!

Avoid the unknown & get monthly checks for Exclusion. It is better to be safe then sorry! Applying for Reinstatement: Reinstatement of excluded entities and individuals is not automatic once the specified period of exclusion ends. Those wishing to again participate in the Medicare, Medicaid and all Federal health care programs must apply for reinstatement…

Former Non-Profit Health Clinics CEO Sentenced to 18 Years for Funneling Millions in Grant Money to Private Companies

BIRMINGHAM – A federal judge today sentenced the former chief executive of two non-profit health clinics for the poor and homeless to 18 years in prison for funneling millions in federal grant money to private companies he formed to contract with the clinics. U.S. Attorney Joyce White Vance, FBI Special Agent in Charge Roger C.…

Fort Smith Man Pleads Guilty to Defrauding Investors and the Department of Health and Human Services

            Fort Smith, Arkansas – Kenneth Elser, United States Attorney for the Western District of Arkansas, announced that William Jackson Moates, Jr., age 49, of Fort Smith, Arkansas, pled guilty today to two counts of Wire Fraud and one count each of Mail Fraud, Theft Concerning a Program Receiving Federal Funds, Money Laundering, and Theft…