Mandatory Exclustion Database Checks – Are You Performing Them?

If you are not performing the mandatory exclusion database checks on your employees, see below for the cost associated with violating the Civil Monetary Penalties Law.

04-24-2014  – After it self-disclosed conduct to OIG, Immediate Homecare, Inc. d/b/a Immediate Homecare and Hospice (Immediate), Pennsylvania, agreed to pay $78,160.59 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Immediate employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

04-07-2014 – After it self-disclosed conduct to OIG, Harvard Vanguard Medical Associates, Inc. (HVMA), Massachusetts, agreed to pay $168,687 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that HVMA submitted claims to Medicare, Medicare’s Atrius Health Pioneer Accountable Care Organization, and Massachusetts Medicaid using CPT codes 90805 and 90807 for services provided by a physician when the services rendered by the physician did not meet the coverage requirements for CPT codes 90805 and 90807.

03-20-2014 – After it self-disclosed conduct to OIG, Mission Medical Associates, Inc. (MMA), North Carolina, agreed to pay $141,809.74 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that MMA employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

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