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OIG Exclusion Screening.

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Eliminate exclusion slip-ups for good. Streamline Verify automatically searches every employee, every month, notifying you of all new potential matches.

GUARANTEED COMPLIANCE

Fail-safe; foolproof. Our screening process includes all federal and state exclusion databases, going over and above OIG requirements.

PEACE OF MIND

We guarantee nothing less than 100% OIG compliance with our automated OIG Exclusion List screening. Our liability. Our responsibility. Our promise.

OIG EXCLUSION SCREENING’S MOST EFFECTIVE SOFTWARE…

BECAUSE COMPLIANCE SHOULD NEVER BE LEFT TO CHANCE.

RECENT OIG PENALTIES AND AFFIRMATIVE EXCLUSIONS

07-27-2016

After it self-disclosed conduct to OIG, Fort Worth Manor Nursing Center (Fort Worth Manor), Texas, agreed to pay $113,820.91 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Fort Worth Manor employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

07-15-2016

After they self-disclosed conduct to OIG, Buckner Elam Medical (BEM) and Setal Rana, M.D. (Dr. Rana), Texas, agreed to pay $435,481.50 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that BEM and Dr. Rana employed an individual that they knew or should have known was excluded from participation in Federal health care programs.

07-14-2016

On July 14, 2016, Pinnacle Hospice Care (PHC), Colorado, entered into a $50,000 settlement agreement with OIG. The settlement agreement resolves allegations that PHC employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual provided items or services to PHC patients that were billed to Federal health care programs. Senior Counsel Ellen Slavin represented OIG with the assistance of Paralegal Specialist Eula Taylor.

After it self-disclosed conduct to OIG, O’Connor Hospital, California, agreed to pay $207,698 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that O’Connor Hospital employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

07-12-2016

After it self-disclosed conduct to OIG, Carolina Kidney Associates, P.A. (CKA), North Carolina, agreed to pay $11,805.48 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that CKA employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

07-07-2016

After it self-disclosed conduct to OIG, Palisades Health Care Partners, Inc. d/b/a ASAP Services Corporation (ASAP Services), District of Columbia, agreed to pay $66,647.28 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that ASAP Services employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

07-06-2016

After it self-disclosed conduct to OIG, Gateway Healthcare, Inc. (Gateway), Rhode Island, agreed to pay $400,000 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Gateway employed three individuals that it knew or should have known were excluded from participation in Federal health care programs.

After it self-disclosed conduct to OIG, Natera, Inc. (Natera), California, agreed to pay $10,000 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Natera employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

06-24-2016

On June 24, 2016, Simpson Chiropractic (Simpson), Oklahoma, entered into a $31,000 settlement agreement with OIG. The settlement agreement resolves allegations that Simpson employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a chiropractic assistant, provided items or services to Simpson patients that were billed to Federal health care programs. Senior Counsel Ellen Slavin represented OIG with the assistance of Paralegal Specialist Mariel Filtz.

After it self-disclosed conduct to OIG, Moses H. Cone Memorial Hospital Operating Corporation d/b/a Cone Health System (CHS), North Carolina, agreed to pay $475,220.66 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that CHS employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

06-23-2016

After it self-disclosed conduct to OIG, Community Care Physicians, P.C. (CCP), New York, agreed to pay $60,972.04 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that CCP employed two individuals that it knew or should have known were excluded from participation in Federal health care programs.

06-17-2016

After it self-disclosed conduct to OIG, UHS of Fairmount, Inc. d/b/a Fairmount Behavioral Health System (Fairmount), Pennsylvania, agreed to pay $58,339.74 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Fairmount employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

06-10-2016

On June 10, 2016, Mark Goff, agreed to be excluded from participation in all Federal health care programs for a period of fifteen years under 42 U.S.C. § 1320a-7(b)(7). OIG alleged that Goff submitted or caused the hospital he co-owned and managed, to submit to the Medicare program false or fraudulent claims for Intensive Outpatient Program (IOP) psychiatric services. Senior Counsel Ellen Slavin represented OIG.

06-08-2016

On June 8, 2016, KASKA, Inc. d/b/a St. Otto’s Care Center (SOCC), Minnesota, entered into a $65,000 settlement agreement with OIG. The settlement agreement resolves allegations that SOCC employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a certified nursing assistant, provided items or services to SOCC patients that were billed to Federal health care programs. Senior Counsel Nicole Caucci represented OIG with the assistance of Paralegal Specialist Mariel Filtz.

05-19-2016

After it self-disclosed conduct to OIG, UHS of Westwood Pembroke, Inc. d/b/a Pembroke Hospital (Pembroke Hospital), Massachusetts, agreed to pay $807,856.65 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Pembroke Hospital employed two individuals that it knew or should have known were excluded from participation in Federal health care programs.

After it self-disclosed conduct to OIG, Fort Duncan Medical Center, L.P. d/b/a Fort Duncan Regional Medical Center (FDRMC), Texas, agreed to pay $545,995.62 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that FDRMC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

After it self-disclosed conduct to OIG, BHC Streamwood Hospital, Inc. d/b/a Streamwood Behavioral Health System (SBHS), Illinois, agreed to pay $285,683.03 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that SBHS employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

After it self-disclosed conduct to OIG, UHS of Dover, LLC d/b/a Dover Behavioral Health System (DBHS), Delaware, agreed to pay $197,320.85 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that DBHS employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

After it self-disclosed conduct to OIG, UHS of Texoma, Inc. d/b/a Texoma Medical Center (TMC), Texas, agreed to pay $127,001.69 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that TMC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

After it self-disclosed conduct to OIG, TBD Acquisition, LLC d/b/a Brook Hospital-Dupont (BHD), Kentucky, agreed to pay $119,033.54 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that BHD employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

After it self-disclosed conduct to OIG, La Amistad Residential Treatment Center, LLC d/b/a Central Florida Behavioral Hospital (CFBH), Florida, agreed to pay $26,744.55 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that CFBH employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

After it self-disclosed conduct to OIG, UHS of Parkwood, Inc. d/b/a Parkwood Behavioral Health System (PBHS), Mississippi, agreed to pay $13,092.48 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that PBHS employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

05-18-2016

After it self-disclosed conduct to OIG, Health Recovery Services, Inc. (HRS), Ohio, agreed to pay $213,564.54 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that HRS employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

On May 18, 2016, OIG excluded a dermatology practice headquartered in Georgia, and the practice’s two owners (collectively, “dermatology practice”), for defaulting on their payment obligations under their Settlement Agreement (Agreement) with the Department of Justice (DOJ) and OIG. The dermatology practice had previously entered into the Agreement for allegedly submitting false claims to the Medicare program that violated the False Claims Act because they: (1) were for laboratory referrals from physicians whose financial relationship with the dermatology practice violated the Stark Law, or (2) improperly included a Modifier 25 billing code on claims submitted for services provided in Georgia. The terms of the Agreement provided that the dermatology practice would make an initial upfront payment plus additional payments over a five-year period. The dermatology practice failed to make a payment in April 2016, and DOJ issued a Notice of Default to the dermatology practice on May 5, 2016. Senior Counsel Karen Glassman represented OIG.

05-06-2016

After it self-disclosed conduct to OIG, Where The Heart Is (WTHI), Tennessee, agreed to pay $100,000 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that WTHI employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

05-05-2016

On May 5, 2016, Eugene A. Fox, D.P.M., agreed to be excluded from participation in all Federal health care programs for a period of thirty years under 42 U.S.C. § 1320a-7(b)(7). OIG’s investigation revealed that Dr. Fox submitted claims to Medicare for podiatric services that were not rendered or were rendered by unqualified personnel. Senior Counsel Lauren Marziani and Associate Counsel David Fuchs represented OIG.

On May 5, 2016, CCRC PropCo-Cypress Village, LLC (Cypress Village), and BLC Atrium-Jacksonville, LLC (Atrium), Florida, entered into a $17,881.65 settlement agreement with OIG. The settlement agreement resolves allegations that Cypress Village and Atrium employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a speech-language pathologist, provided items or services to Cypress Village and Atrium patients that were billed to Federal health care programs. Senior Counsel Nicole Caucci represented OIG.

After it self-disclosed conduct to OIG, 125 Alma Boulevard Operations LLC d/b/a Island Health and Rehabilitation Center (IHRC), Florida, agreed to pay $30,924.11 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that IHRC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

After it self-disclosed conduct to OIG, AHS Oklahoma Physician Group, LLC d/b/a Utica Park Clinic (UPC), Oklahoma, agreed to pay $13,467.01 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that UPC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

 

 

A NECESSARY ADDITION TO EVERY COMPLIANCE OFFICER &
HR COORDINATOR’S EXCLUSION SCREENING TOOLKIT

THE SOFTWARE BUILT BY HR PEOPLE, FOR HR PEOPLE.

Streamline Verify is the effective and affordable solution that keeps your company OIG compliant, WITHOUT the tedious, labor-intensive data input requirements. Our automated OIG Exclusion List will save you time and money and make sure you stay compliant without any difficulty. Learn more about our hassle-free OIG Exclusion Screening software and discover how simple OIG compliance can be with Streamline Verify.

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TESTIMONIALS

  • “We’re delighted by how easily Streamline Verify has become an integral part of our operations. Our confidence levels in our screening have never been higher and our alert resolution processing has been enhanced dramatically. Plus, the learning curve is virtually non-existent – our staff has been comfortable using Streamline Verify since Day 1.” C. Joseph Kurland, Esq
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