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Excluded Providers

Recent New York Medicaid Settlement with Pharmacy Shows Importance of Checking Excluded Provider List Prior to Filling...

by Foley & Lardner LLP on

A New York pharmacy has agreed to pay approximately $500,000 to the State of New York for improperly billing New York Medicaid for prescriptions written by a physician who had been excluded from the Medicaid program. This...more

Updated OIG Exclusion Guidance Spells Out Recommended Employee Screening Procedures

by Poyner Spruill LLP on

On May 8, 2013, the Office of Inspector General (OIG) published an updated bulletin that spells out the frequency with which employers should check the OIG’s List of Excluded Individuals and Entities and clarifies which...more

Fourteen Years Later: New OIG Guidance On Excluded Providers

by Polsinelli on

In This Issue: - Exclusion from Federal Health Care Programs - The New Advisory Bulletin - What Providers Should Know - For More Information - Excerpt from Exclusion from Federal Health Care...more

Do Not Pay: The Government’s Newest Tool

by DLA Piper on

In previous posts and presentations, I have emphasized the critical role that data prospecting will play in the government’s efforts to prevent health care fraud, waste and abuse. Here’s further support for the proposition....more

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