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OIG/CMS Penalties

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…

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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.…

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Two companies heavily fined for employing excluded individuals

After it disclosed conduct to the OIG pursuant to its CIA, Quest Diagnostics, Incorporated (Quest), New Jersey, agreed to pay $152,560.51 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Quest employed four individuals that it knew or should have known were excluded from participation in Federal health care programs.   After it…

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07-14-2016 Colorado Hospice Settles Case Involving Excluded Individual

On July 14, 2016, Pinnacle Hospice Care (PHC), Colorado, entered into a $50,000 settlement agreement with OIG. The settlement agreement resolves allegations that PHC employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual provided items or services to PHC patients that were billed…

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06-24-2016 Moses H. Cone Memorial Hospital Operating Corporation d/b/a Cone Health System (CHS)

After it self-disclosed conduct to OIG, Moses H. Cone Memorial Hospital Operating Corporation d/b/a Cone Health System (CHS), North Carolina, agreed to pay $475,220.66 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that CHS employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

06-24-2016 Oklahoma Chiropractic Center Settles Case Involving Excluded Individual

On June 24, 2016, Simpson Chiropractic (Simpson), Oklahoma, entered into a $31,000 settlement agreement with OIG. The settlement agreement resolves allegations that Simpson employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a chiropractic assistant, provided items or services to Simpson patients that…

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06-08-2016 Minnesota Skilled Nursing Facility Settles Case Involving Excluded Individual

On June 8, 2016, KASKA, Inc. d/b/a St. Otto’s Care Center (SOCC), Minnesota, entered into a $65,000 settlement agreement with OIG. The settlement agreement resolves allegations that SOCC employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a certified nursing assistant, provided items…

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05-19-2016 Fort Duncan Medical Center

After it self-disclosed conduct to OIG, Fort Duncan Medical Center, L.P. d/b/a Fort Duncan Regional Medical Center (FDRMC), Texas, agreed to pay $545,995.62 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that FDRMC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

 

05-19-2016 Pembroke Hospital

After it self-disclosed conduct to OIG, UHS of Westwood Pembroke, Inc. d/b/a Pembroke Hospital (Pembroke Hospital), Massachusetts, agreed to pay $807,856.65 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Pembroke Hospital employed two individuals that it knew or should have known were excluded from participation in Federal health care programs.

 

05-05-2016 Florida Skilled Nursing Facilities Settle Case Involving Excluded Individual

On May 5, 2016, CCRC PropCo-Cypress Village, LLC (Cypress Village), and BLC Atrium-Jacksonville, LLC (Atrium), Florida, entered into a $17,881.65 settlement agreement with OIG. The settlement agreement resolves allegations that Cypress Village and Atrium employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual,…

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Application Researchers® has been in operation since 1994 and has been providing OIG LEIE research for more than fifteen years. We use a proprietary, internet-accessible software (Zip24AR®), which allows clients to securely request service, view progress in real-time and view/store reports.

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Recent News
  • 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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