tci Medicare Compliance & Reimbursement - 2017 Issue 2

Exclusions: Providers Who Interfere with OIG Investigations May Find Themselves Excluded

HHS final rule suggests hindering the audit process may lead to exclusions. Exclusion from federal healthcare programs like Medicare and Medicaid can greatly impact a provider’s ability to practice medicine. A recent Federal Register report suggests that OIG plans to crack down on those who obstruct its progress. Backdown. An HHS final rule came out in the Federal Register on Jan. 12, 2017, seeking to clarify and update its process of exclusion from federal healthcare programs. Highlights include stricter penalties for obstructing audits and investigations, a 10 year-limit on the OIG in pursuing exclusions, and easier reinstatement guidelines...

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