What are the Types OIG Exclusions?

The Department of Health and Human Services (HHS) Office of the Inspector General (OIG), which maintains a list of all excluded individuals and entities, can prevent those who have committed health care fraud or other serious crimes from receiving federal funds through Social Security, Medicare, and state Medicaid programs. The List of Excluded Individuals/Entities (LEIE) contains two different types of exclusions: mandatory exclusions, such as Medicare and Medicaid fraud and patient abuse or neglect, and permissive exclusions, such as misdemeanor convictions related to health care fraud other than Medicare or a State health program, and fraud in a program funded by any Federal, State, or local government agency.

 

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Post By Ken Shafton (399 Posts)