With the rampant and widely publicized episodes of Medicaid and Medicare fraud in recent years, there is increasing pressure on healthcare institutions to perform more frequent sanction screenings of employees and vendors against Federal and State exclusion lists, in order to ensure that they are not billing for the work of excluded parties.
Organizations that are audited and discovered to be billing for services rendered by an excluded vendor or individual will be fined ($11,000 per occurrence) and will be excluded from participating in federally-funded health care programs.
The consequences of employing or contracting with an excluded individual or entity include the following:
OIG Compliance NOW, LLC
49 Court Street
Binghamton, NY 13901
Phone: (607) 240-2400
Fax: (607) 722-1877