OIG Exclusion Checks – Risks of not checking federal and state exclusion lists and the benefits of using the SureCheckUSA automated system.
Risk of non-compliance equates to a minimum of $10,000 fine per billed item, with the average fine for hiring or contracting with an excluded person or entity is over $100,000*
It is the law.
All federal and state health care programs are prohibited to pay for any item or service furnished, ordered, or prescribed by an OIG excluded individual or entity. This exclusion includes prescriptions for medications and administrative or management services provided by the excluded individual.
The following is recent information provided by the United States of America, Office of Inspector General. AS you can see….audits And inspections are a priority and on the up rise!
2016 National Health Care Fraud Takedown*
The Department of Health and Human Services Office of Inspector General, along with our state and federal law enforcement partners, participated in the largest health care fraud takedown in history in June 2016. Approximately 300 defendants in 36 judicial districts were charged for their alleged participation in Medicare and Medicaid fraud schemes involving about $900 million in false billings to these programs.
These takedowns protect and deter fraud of the Medicare and Medicaid programs that millions of Americans rely on – sending a strong signal that theft from these taxpayer-funded programs will not be tolerated. The money taxpayers spend fighting fraud is an excellent investment: For every $1.00 spent on health care related fraud and abuse investigations in the last three years, more than $6.10 was recovered.