Lexology August 8, 2023
Under its exclusion authority, the Department of Health and Human Services Office of Inspector General (OIG) has the power to exclude certain individuals and entities from receiving compensation from federally funded health care programs (including Medicare Advantage Organizations (MAOs) and Medicare Prescription Drug Plans (PDPs)). Employers who hire an individual on the List of Excluded Individuals/Entities (LEIE) are subject to penalties. OIG recently reported a number of settlements with health care entities that the OIG alleged failed to screen employees for exclusion from government health care programs. Below is a list of some of the settlements related to claims that employees provided services to a government program while excluded:
- An Arizona medical group agreed to pay $338,388.58 for employing...
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