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




5-21-2018

After it self-disclosed conduct to OIG, Aspen Trace Health and Living Community (ATHLC), Indiana, agreed to pay $16,115.25 717 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that ATHLC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

05-17-2018

On May 17, 2018, Immediate Home Care (IHC) in Bensalem, Pennsylvania, entered into a $189,445.68 settlement agreement with OIG. The settlement agreement resolves allegations that IHC employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a home health nurse, provided items or services to IHC’s patients that were billed to Federal health care programs. Senior Counsel Nancy Brown represented OIG.

05-07-2018

On May 7, 2018, in connection with the resolution of his False Claims Act liability, Robert Gennaro (Gennaro), Woodstock, Georgia, agreed to be excluded again from participation in all Federal health care programs for a period of ten years under 42 U.S.C. § 1320a-7(b)(7). OIG’s investigation revealed that Gennaro worked at pain management clinics in Georgia and Kentucky that were owned by Dr. Robert Windsor (Dr. Windsor) and operated under the umbrella of National Pain Care, Inc. Dr. Windsor contracted with a company to provide online, real time intraoperative monitoring (IOM) of surgeries. IOM is a medical procedure in which a physician monitors nerve and spinal cord activity during surgical procedures in order to minimize potential adverse effects to a patient’s nervous system during surgery. The company billed federal health care programs on behalf of Dr. Windsor for the professional component of the IOM services when Gennaro was performing IOM on Dr. Windsor’s behalf. Senior Counsel Lisa Veigel represented OIG.

05-04-2018

On May 4, 2018, Alameda Health System (AHS), California, entered into a $257,874 settlement agreement with OIG. The settlement agreement resolves allegations that AHS employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, an eligibility clerk, provided items or services to AHS’s patients that were paid for by Federal health care programs.

04-27-2018

After it self-disclosed conduct to OIG, Tuscarawas County General Health District (Tuscarawas), Ohio, agreed to pay $55,203.42 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Tuscarawas employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

04-11-2018

On April 11, 2018, in connection with the resolution of his False Claims Act liability, Benard Rorie (Rorie), Brooklyn, New York, agreed to be excluded from participation in all Federal health care programs for a period of ten years under 42 U.S.C. § 1320a-7(b)(7). OIG’s investigation revealed that Rorie accepted kickbacks in the form of cash payments from Narco Freedom, Inc. (Narco Freedom), an operator of outpatient substance abuse rehabilitation programs, to refer the residents of group homes managed by Rorie’s company, Joining Hands, to Narco Freedom for outpatient programs and to enforce the residents’ attendance at those programs regardless of the need for outpatient treatment. Senior Counsels David Fuchs and Geeta Taylor represented OIG.

04-05-2018

After it self-disclosed conduct to OIG, Shands Teaching Hospital and Clinics, Inc. d/b/a UF Health Shands (Shands), Florida, agreed to pay $249,413 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Shands employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

03-28-2018

After it self-disclosed conduct to OIG, Allen’s Nursing Home, d/b/a South Kingstown Nursing and Rehabilitation Center (SKNRC), Rhode Island, agreed to pay $42,734.62 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that SKNRC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

03-27-2018

On March 27, 2018, ASAP Home Nurses, Inc. (ASAP), located in Wadsworth, Ohio, entered into a $11,406.26 settlement agreement with OIG. The settlement agreement resolves allegations that ASAP 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 ASAP’s patients that were billed to Federal health care programs. Senior Counsel Keshia Thompson represented OIG with the assistance of Paralegal Specialist Eula Taylor.

03-26-2018

On March 26, 2018, Community Care, Inc. (CCI), located in Brookfield, Wisconsin, entered into a $208,585.20 settlement agreement with OIG. The settlement agreement resolves allegations that CCI, a care management organization, contracted with an individual who was excluded from participating in any Federal health care programs. OIG’s investigation revealed that the excluded individual provided for residential items or services to CCI’s patients that were billed to Federal health care programs. Associate Counsel Jonathan Culpepper represented OIG.

03-21-2018

On March 21, 2018, Pharmex Pharmacy, LLC, and Israel Weber (collectively, “Pharmex”), Lakewood, New Jersey, entered into a $314,205.76 settlement agreement with OIG. The settlement agreement resolves allegations that Pharmex employed an individual who was excluded from participating in any Federal health care programs. OIG’s investigation revealed that the excluded pharmacist provided items or services to Pharmex patients that were billed to Federal health care programs. Associate Counsel Srishti Sheffner represented OIG.

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

  • “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
  • “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