Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Overview
OIG Exclusion Authorities Exclusion Referrals to OIG Quality of Care Enforcement Cases CIAs
What is Exclusion?
Effect of Exclusion Remedial Protect Federal health care programs and beneficiaries Permissive v. Mandatory
Exclusion Authorities
Mandatory Exclusion criminal conviction Permissive Exclusion- 15 authorities http://oig.hhs.gov/fraud/exclusions/ authorities.asp
Referral Sources
USAOs MFCUs Local prosecutors State Medicaid Agencies Licensing boards
Documentation
Judgment Plea agreement Indictment, information, etc. Investigative report or narrative, if necessary Aggravating factors Mitigating factors (including cooperation) Cover letter with a brief summary
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Result:
Permanent Exclusion
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Too few staff, lack of staff competency Lack of focus on quality outcomes, process, culture, and data Failure to monitor and evaluate problems as they arise
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Contact Information
Lisa Re Deputy Chief Administrative & Civil Remedies Branch Office of Counsel to the Inspector General Department of Health & Human Services 202-205-9213
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Atlanta
Alabama, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee HHS/OIG/OI Suite 5T18 61 Forsyth Street, SW Atlanta, GA 30303
HHS/OIG/OI Suite 326 150 South Independence Mall West Philadelphia, PA 19106 215-861-4586
404-562-7603
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Dallas
Arkansas, Louisiana, New Mexico, Oklahoma, Texas
San Francisco
Alaska, Northern California, Idaho, Oregon, Washington
Miami
Florida
HHS/OIG/OI Suite 306 8100 Oak Lane Miami Lakes, FL 33016 305-530-7756
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