The Great Exclusion Snowball

Posted by Frank Strafford on September 21, 2015 in Industry News,

The Great Exclusion SnowballGlobal warming and the Artic freeze are not our forte, but we’ve granted ourselves the liberty of forecasting what our ‘weathermen’ see coming up on the horizon: The Great Exclusion Snowball.

Over two months ago, we blogged about the the OIG alert targeting small-time medical practices.  Last week, Greenberg Traurig LLP reported on Lexology that the OIG introduced a new task force, consisting of 10 attorneys focused on issuing CMPs (civil monetary penalties) and exclusions to physicians convicted of overbilling and kickbacks.  In practical terms, we’ve seen the numbers of excluded individuals climbing exponentially from year to year – along with the number and dollar amount of fines issued as a result of employing them.

All of which leads us to believe that we are standing at the cusp of The Great Exclusion Snowball.

It is so easy for the OIG to exclude a provider from doing business with Medicaid and Medicare.  It’s a penalty that is simple to enforce, and perceived as fair in the public eye.  And that is why it is a punishment that will likely only continue to increase in popularity as time goes on.

So keep your scarf on.  Looks like we’re in for some nasty weather.

About Frank Strafford

About Frank Strafford

Related Articles

OIG Increases Focus On Employee Screening

With the 2015 Work Plan in full gear, background screening is not getting any easier. In fact, the Office of Inspector General continues to increase focus on screening practices in the healthcare ind...

Arizona Medicaid Exclusion

Arizona Exclusion The Arizona Health Care Cost Containment System (AHCCCS) Office of Inspector General takes on the task of safeguarding the state’s Medicaid Program which amounts to $9 billion. Its...

The 10 Commandments of OIG Compliance

  Healthcare organizations and workers now have an easier way to come up with smart HR and OIG compliance practices. Streamline Verify created a clever way to summarize the rules and regulations...