All About OIG Exclusion List We Must Know!

The office of the Inspector General or OIG of U.S Department of Health & Human services upholds a list of those healthcare providers who has been excluded for some or the other reasons for unlawful participation in any kind of healthcare programs. This list is called OIG exclusion list and it is very important for healthcare providers and if by any offence their name comes in this list, then it becomes a big deal for them. If their name comes in this list, it prevents them from treating patients and they lose their ability to get any employment opportunities. Pennsylvania State Exclusion Search sources are in high demand these days because people know that a professional help is always good.

Let’s have a look at some of the offences for which healthcare providers find their name in the list:

Permissive exclusions:

• Mis demean because of any fraud or any obstruction in the investigation.
• Manufacture, prescription, dispensing or distributing substances unlawfully.
• Exclusion under state health providing programs.
• Submitting false claims to state healthcare programs by the healthcare provider.
• A healthcare provider fault on loans for healthcare education or any kind of obligations for a scholarship.

Mandatory exclusion: The OIG is responsible for excluding individuals for the following reason:

• Convicted because of Medicare or fraud in Medicare.
• Abusing or neglecting the patient.
• Convictions because of any kind of other healthcare fraud, or any kind of misconduct
• Production, prescription, dispensing and distribution of controlled substances unlawfully. Depending on the extent of fraud, it will be decided whether it comes under permissive or mandatory exclusion list.

Therefore, it is important for all healthcare providers to like physicians, nurse practitioners and others who face such disciplinary actions by the medical board to know that it will land them in OIG exclusion list and it will be a very difficult battle for them to return back to their practice. They will have to pay high penalties if their name appears in Pennsylvania State Exclusion Search. For employers it is also important to frequently check the exclusion databases before hiring any healthcare providers to be confirmed that their name is not present in the list, to avoid any liabilities for the organization. A process of OIG Exclusion List Screening should be implemented on the interval to check the exclusion list for ensuring that the current employees are not added in the list.