In an attempt to weed out Medicaid and Medicare fraud, the U.S. Federal Government granted autonomy to the Office of Inspector General (OIG) to maintain an exclusion list, updated regularly to include medical professionals who have taken advantage of these types of federally funded programs. Individuals who land on the exclusion list can remain there anywhere from a minimum of one year to an indefinite period and are required to pass through a reapplication process even after the specific time has passed. Organizations, companies, or facilities that participate in government health programs may not employ individuals on the exclusion list, and those that do risk steep fines that typically range between $30,000 and $300,000. There are two types of exclusions, Mandatory and Permissive, and today we’re touching on Permissive Exclusions.
Permissive Exclusions are regulated and given out under 16 different authorities. They could be given as penalty for a slew of issues, including: the loss of state license to practice, failure to repay student loans, quality of care issues, or conviction of several other misdemeanors.
Monitoring the OIG exclusion list and the other federal and state exclusion lists takes constant and proactive attention and maintenance. Verify Comply specializes in assisting our clients ensure compliance to avoid costly fines and financial perils. If you’re ready to let go of the burden and stress of ensuring your organization isn’t employing or hiring an excluded individual or entity, don’t hesitate to contact us. We’re ready to assess your needs to ensure your organization can focus on what you do best.
