Who is on the OIG exclusion list?

Mandatory exclusions: OIG is required by law to exclude from participation in all Federal health care programs individuals and entities convicted of the following types of criminal offenses: Medicare or Medicaid fraud, as well as any other offenses related to the delivery of items or services under Medicare, Medicaid.

What is an OIG exclusion check?

An OIG Exclusion is a final administrative action by the Office of the Inspector General (OIG) that prohibits participation in any Federal Health Care Program. Exclusions are imposed because the individual or entity is found to pose unacceptable risks to patient safety and/or program fraud.

What does it mean to be on the exclusion list?

Exclusion List means the list of all persons and entities who have timely and validly excluded themselves from the Settlement.

How do I remove my name from OIG exclusion list?

How to Get Off the OIG Exclusion List?

  1. Send a written request containing: Individual’s or entity’s full name (if excluded under a different name, also include that name)
  2. Fax or email the request to the OIG at (202) 691-2298 or [email protected]
  3. If eligible, the OIG will send statement and authorization forms.

How long do OIG exclusions last?

Depending on the OIG’s assessment of the facts in a case and the aggravating factors presented, a mandatory period of exclusion may last from five years to the lifetime of an individual or entity.

How often should I check the OIG exclusion list?

once a month
The OIG suggests checking the list at least once a month, as names are constantly being added or removed. Monthly screening can guarantee that your staff is in compliance and that your facility can continue to serve Medicaid, Medicare, and other government healthcare beneficiaries.

Why would someone be on the OIG exclusion list?

Mandatory exclusions are enforced by law and require the OIG to exclude an individual or entity when they are convicted for committing felony crimes — Medicare or Medicaid fraud, or other felony offenses related to state or federal health care programs; felony convictions related to controlled substances; or …