Resource Library

articles, videos and other resources to help you learn and protect your business.

Our Blog

11-01-2018 Ohio Nursing Home Settles Case Involving Excluded Individual
November 14, 2018

10-30-2018 Kansas Financial Management Services Provider Settles Case Involving Excluded Individual
November 14, 2018

10-05-2018 Arkansas Assisted Living Facility Settles Case Involving Excluded Individual
October 29, 2018

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Video Library

OIG Self-Disclosure Process
April 11, 2016

What is Exclusion, Exclusion Authorities and Effects of Exclusion
April 8, 2016

Compliance Training – Understanding Program Exclusions
April 8, 2016

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Service Components

OIG/CMS Requirements

Guidelines for health care providers to screen employees, contractors and vendors monthly against LEIE exclusion list.
April 8, 2016

OIG imposes large fines, monetary penalties and possible program exclusion upon providers that employ or enter into contracts with excluded persons or entities to provide items or services payable by Federal health care programs.
April 8, 2016

Items and Services that Excluded Parties May Be Furnishing Which Will Subject Their Employer or Contractor to Possible Civil Monetary Penalty (CMP) Liability
April 8, 2016

Medicare/Medicaid payments are prohibited to providers who furnish any items and services at the medical direction or on the prescription of an excluded person.
April 8, 2016

Providers are responsible to ensure that the ordering or prescribing physician is not excluded from participation in Medicare/Medicaid.
April 8, 2016

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Recent Penalties

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Our Services

ExclusionALERT™

The Office of Inspector General (OIG) in the Department of Health and Human Services (HHS) prohibits payment from Medicare and Medicaid to excluded providers.

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LicenseALERT™

The Center for Medicare and Medicaid Studies (CMS) requires Medicare contractors to conduct monthly reviews of state licensing board actions.

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VendorALERT™

As a participating provider with Medicare and/or Medicaid, payments made by you to any vendor currently excluded from participation in Medicare and Medicaid is prohibited.

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