OIG Exclusion Screening

OIG Exclusion Screening.

STREAMLINED.

AUTOMATED UPDATES

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




01-11-2017


Roben Brookhim, an unlicensed Dentist in New Jersey, agreed to pay $1,134,000 for allegedly violating the Civil Monetary Penalties Law and agreed to be excluded from participation in Federal health care programs for a period of fifty years under 42 U.S.C. § 1320a-7a and 42 U.S.C. § 1320a-7(b)(7). OIG alleged that Brookhim owned, controlled, and managed Associated Dental NP, LLC (ADNP), a New Jersey dental practice with multiple locations, in violation of his exclusion from Federal health care program participation in August 2000. OIG further alleged that as part of his fraud scheme, Brookhim assumed the identity of a licensed New Jersey dentist (Dentist A), to provide services to ADNP patients. Brookhim assumed Dentist A’s identity because Brookhim’s license to practice dentistry was suspended in 1999 and revoked in 2004. OIG contends that Brookhim presented claims for services to various New Jersey Medicaid Managed Care Organizations identifying Dentist A as having providing services; in fact, Dentist A never rendered services to ADNP patients. Brookhim continued to pose as Dentist A and submit claims in his name — even after Dentist A died. Senior Counsels David Blank and Michael Torrisi represented OIG with the assistance of Paralegal Specialist Mariel Filtz.
News Release

01-06-2017

On January 6, 2017, Deseret Health Group and Jon Robertson (Robertson), Bountiful, Utah, 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) and 1320a-7(b)(6)(B). OIG alleged that Deseret Health Group and Robertson: (a) failed to provide adequate care planning and assessments of residents; (b) failed to provide medications, treatments, laboratory tests, physical therapy, and other services as ordered and/or prescribed by residents’ physicians; (c) failed to properly use and/or administer psychotropic drugs; (d) failed to follow appropriate pressure ulcer and infection control protocols for some residents; (e) failed to follow appropriate fall protocols for some residents; (f) failed to properly administer medications to some of the residents to avoid medication errors; (g) failed to provide a safe living environment for residents; and (h) failed to answer some residents’ call lights promptly. Senior Counsel Felicia Heimer represented OIG.

12-28-2016

After it self-disclosed conduct to OIG, New LifeCare Hospitals of Northern Nevada, LLC d/b/a Tahoe Pacific Hospitals (New Life Care), Nevada, agreed to pay $57,425.51 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that New LifeCare 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, Wexner Heritage Village (Wexner), Ohio, agreed to pay $10,000 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Wexner employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

12-22-2016

After it self-disclosed conduct to OIG, Alternative Consulting Enterprises, Inc. (ACE), Pennsylvania, agreed to pay $126,102.38 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that ACE employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

12-16-2016

On December 16, 2016, Alexander Khavash, a chiropractor, and the two chiropractic practices he owned, Alexander Khavash, DC, P.C., and AK Chiropractic, P.C., agreed to be excluded from participation in all Federal health care programs for a period of forty years under 42 U.S.C. § 1320a-7(b)(7). OIG’s investigation revealed that Khavash and his practices submitted claims to Medicare for chiropractic services that were not medically necessary and not provided as claimed. Senior Counsels Michael Torrisi, Joan Matlack and Andrea Treese Berlin represented OIG.

12-09-2016

Dr. Michael Esposito agreed to be excluded from participation in all Federal health care programs for a period of five years under 42 U.S.C. § 1320a-7(b)(7). OIG’s investigation revealed that Dr. Esposito forged the signature of another physician on prescriptions for medications for himself and another person that were paid for by the Medicare program. Senior Counsel David Blank and Associate Counsel Jennifer Leonardis represented OIG.

11-30-2016

After it self-disclosed conduct to OIG, Antelope Valley Hospital (AVH), California, agreed to pay $190,087.90 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that AVH employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

On November 30, 2016, Ditmas Park Rehab/Care Center (Ditmas Park), Brooklyn, New York, entered into a $205,089.22 settlement agreement with OIG. The settlement agreement resolves allegations that Ditmas Park employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a licensed practical nurse, provided items or services to Ditmas Park patients that were billed to Federal health care programs. Senior Counsel Katie Fink represented OIG with the assistance of Paralegal Specialist Eula Taylor.

11-15-2016

On November 15, 2016, Fort Tryon Rehabilitation and Healthcare Facility, LLC (Fort Tryon), New York, New York, entered into a $110,223.36 settlement agreement with OIG. The settlement agreement resolves allegations that Fort Tryon employed two individuals who were excluded from participating in Federal health care programs. OIG’s investigation revealed that one excluded individual was a registered nurse supervisor and the other was a licensed practical nurse. While excluded, both individuals provided items or services to Fort Tryon patients that were billed to Federal health care programs. Senior Counsel Keshia Thompson represented OIG with the assistance of Paralegal Specialist Eula Taylor.

11-04-2016

Labib Riachi, M.D., a New Jersey based OB/GYN with a subspecialty in urogynecology, agreed to be excluded from participation in Federal health care programs for a period of twenty years under 42 U.S.C. § 1320a-7(b)(7) for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Dr. Riachi knowingly submitted claims to Medicare and Medicaid for pelvic floor therapy services that he knew or should have known were not provided as claimed or were false or fraudulent. These claims were not provided as claimed or were false or fraudulent for one or more of the following reasons: (1) Dr. Riachi failed to personally perform or directly supervise services while he was traveling outside the United States or State of New Jersey; (2) Dr. Riachi failed to personally supervise the performance of a diagnostic procedure performed by his medical assistants; (3) services were not actually provided; (4) physical therapy services were provided by unlicensed and unqualified individuals; (5) services were not documented; and (6) diagnostic services were not reasonable and necessary. David Blank, Tamara Forys, and Jennifer Leonardis represented OIG with assistance from Paralegal Specialist Mariel Filtz.

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
  • “The “can do” attitude of the service and technical staffs at Streamline is truly remarkable. Streamline quickly adapted Streamline Verify to easily process the expanded number of uploads we required with a focus and a commitment to excellence that produced results and exceeded our expectations.” Cheri A. Copie, BSN, CHC, Director of Compliance and Regulatory Affairs NeoGenomics Laboratories