OIG Exclusion Screening

02-25-2019

On February 25, 2019, Aroostook Mental Health Services, Inc. (AMHS), Caribou, Maine, entered into a $17,750.12 settlement agreement with OIG. The settlement agreement resolves allegations that AMHS employed an individual who was excluded from participating in MaineCare, Maine’s Medicaid program. OIG’s investigation revealed that the excluded individual, a counselor, provided items or services to AMHS’s patients that were billed to MaineCare.

01-25-2019

After it self-disclosed conduct to OIG, IHC Health Services, Inc. d/b/a Intermountain Medical Center (IMC), Utah, agreed to pay $68,204.85 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that IMC employed an individual that it knew or should have known was excluded from participation in Federal health care programs. OIG further alleged that two additional excluded individuals provided items or services to IMC’s patients that were billed to Federal health care programs.

01-08-2019

After it self-disclosed conduct to OIG, PHI Air Medical, L.L.C. (PHI Air), Arizona), agreed to pay $13,259.99 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that PHI Air employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

01-04-2019


On January 4, 2019, Baptist Village of Owasso (BVO), Owasso, Oklahoma, entered into a $96,020.92 settlement agreement with OIG. The settlement agreement resolves allegations that BVO employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, an admission specialist, provided items or services to BVO’s patients that were billed to Federal health care programs.

After it self-disclosed conduct to OIG, Valley’s Best Hospice (VBH), California, agreed to pay $27,420.23 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that VBH employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

12-01-2018

On December 1, 2018, in connection with the resolution of their False Claims Act liability, Families United Services, Inc. (FUS), and Pamela McKenzie, Georgia, each agreed to be excluded from participation in all Federal health care programs for periods of five years under 42 U.S.C. § 1320a-7(b)(7). OIG alleged that FUS and Pamela McKenzie submitted claims to Georgia Medicaid for behavioral health services that were not provided. Senior Counsel Katie Fink represented OIG.

11-27-2018

On November 27, 2018, Spurwink Services (Spurwink), Portland, Maine, entered into a $61,461.00 settlement agreement with OIG. The settlement agreement resolves allegations that Spurwink employed an individual who was excluded from participating in MaineCare, Maine’s Medicaid program. OIG’s investigation revealed that the excluded individual, a residential treatment specialist, provided items or services to Spurwink’s patients that were billed to MaineCare.

11-13-2018

On November 13, 2018, OIG excluded Medicus Laboratories, LLC (Medicus), a Dallas, Texas, laboratory, for defaulting on payment obligations under a settlement agreement with OIG wherein OIG alleged that Medicus submitted false or fraudulent claims to Medicare. Medicus’ exclusion will remain in effect until it cures the default of its payment obligations and OIG reinstates Medicus’ participation in Federal health care programs. Senior Counsel Geoffrey Hymans represented OIG.

11-08-2018

After it self-disclosed conduct to OIG, Fox Rehabilitation Services, P.C. (Fox), agreed to pay $261,003 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Fox, at a Fox location in New Jersey, employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

11-07-2018

On November 7, 2018, the University of Chicago Medical Center (UCMC), Chicago, Illinois, entered into a $253,671.20 settlement agreement with OIG. The settlement agreement resolves allegations that UCMC, through a staffing agency, employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a registered nurse, provided items or services to UCMC’s patients that were billed to Federal health care programs.

11-01-2018

On November 1, 2018, Wayside Farm, Inc. (Wayside), Peninsula, Ohio, entered into a $293,842.58 settlement agreement with OIG. The settlement agreement resolves allegations that Wayside employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a state tested nurse aide, provided items or services to Wayside’s patients that were billed to Federal health care programs.