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




09-18-2017

On September 18, 2017, Century Pharmacy (Century), Brooklyn, New York, entered into a $10,000 settlement agreement with OIG. The settlement agreement resolves allegations that Century employed an individual who was excluded from participating in any Federal health care programs. OIG’s investigation revealed that the excluded individual, who assisted in filling prescriptions in addition to performing other clerical tasks, provided items or services to Century patients that were billed to Federal health care programs. Senior Counsel Kenneth Kraft represented OIG with the assistance of Paralegal Specialist Eula Taylor.

09-15-2017

On September 15, 2017, Sundance Behavioral Healthcare System (Sundance), Texas, entered into a $49,183.48 settlement agreement with OIG. The settlement agreement resolves allegations that Sundance employed an individual who was excluded from participating in any Federal health care programs. OIG’s investigation revealed that the excluded individual, a licensed vocational nurse, provided items or services to Sundance patients that were billed to Federal health care programs. Deputy Branch Chief Nicole Caucci represented OIG with the assistance of Paralegal Specialist Jennifer Hilton.

09-08-2017

On September 8, 2017, Olive Sleep & EEG, Inc., an independent diagnostic testing facility, and Mariam Unjughulyan, its owner, (collectively, “Olive Sleep”) agreed to be excluded for a period of five years under 42 U.S.C. § 1320a-7(b)(7). OIG’s investigation revealed that Olive Sleep submitted claims for nerve conduction studies that are considered screening exams and not covered by Medicare in violation of a Local Coverage Determination governing the medical necessity of such studies. OIG’s Office of Audit Services and Office of Counsel to the Inspector General, represented by Senior Counsels Geoffrey Hymans and Kenneth Kraft, collaborated to achieve this resolution.

09-06-2017

After it self-disclosed conduct to OIG, Adventist Health System Sunbelt Healthcare Corporation d/b/a AHS Information Services (AHS), Florida, agreed to pay $101,435.28 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that AHS 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, Adventist Health System Sunbelt Healthcare Corporation d/b/a Rx Plus Pharmacy (Rx Plus), Florida, agreed to pay $15,437.12 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Rx Plus employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

09-05-2017

On September 5, 2017, in connection with the resolution of False Claims Act liability, Dr. Cory Lee Pickens, Billings, Montana, agreed to be excluded for a period of ten years under 42 U.S.C. § 1320a-7(b)(7). OIG’s investigation revealed that despite previously having been excluded from participation in all Federal health care programs on September 20, 2011, Dr. Pickens provided services to beneficiaries of the Medicaid program while he was excluded. Senior Counsel David Traskey represented OIG.

09-01-2017

After it self-disclosed conduct to OIG, Leroy R. Polite, D.M.D., P.A., d/b/a Economy Dentures and Economy Dentistry (Economy Dentures), Florida, agreed to pay $279,135 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Economy Dentures employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

08-24-2017

After it self-disclosed conduct to OIG, Apex Dermatology and Skin Surgery Center, LLC (Apex), Ohio, agreed to pay $125,070.71 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Apex employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

08-23-2017

On August 23, 2017, in connection with the resolution of False Claims Act liability, Employment & Assessment Solutions, Inc., a transportation service provider, and Chris Manus, its owner (collectively, “EASI”), agreed to be excluded for a period of nine years under 42 U.S.C. § 1320a-7(b)(7). OIG’s investigation revealed that EASI caused the submission of claims to Federal health care programs for services billed but not actually provided by EASI for patients, including transportation services not provided to patients who were incarcerated or hospitalized at the time of their purported transport. Associate Counsel Srishti Sheffner represented OIG.

08-01-2017

After it self-disclosed conduct to OIG, Nurse Practitioner Health Services, LLC (NPHS), Ohio, agreed to pay $22,846.38 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that NPHS employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

07-06-2017

On July 6, 2017, Malvina Yakobashvili, the President, CEO, and owner of a Pennsylvania hospice company, agreed to be excluded for a period of ten years under 42 U.S.C. § 1320a-7(b)(7). OIG’s investigation revealed that Yakobashvili’s company, Home Care Hospice, Inc.: (1) submitted claims to Medicare for hospice services that were provided to beneficiaries who did not qualify under the Medicare guidelines for (a) routine hospice care because patients were improperly certified as terminally ill or (b) continuous care; and (2) engaged in a cover-up scheme that included falsification of documents to conceal the fraud.

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