Medicare Revocation Reason #2 of 14 – Excluded or Debarred from Federal Program:
If a provider/supplier, or any owner, managing employee, authorized or delegated official, medical director, supervising physician or “other healthcare personnel” if excluded or debarred from Medicare, Medicaid, or any other Federal health benefit program,
OR
If any of those people or entities are debarred, suspended, or otherwise excluded from participating in any other Federal procurement or nonprocurement program or activity.
HOW TO PREVENT THIS IS TO SCREEN, SCREEN, SCREEN,
AND TO DOCUMENT, DOCUMENT, DOCUMENT
Screen monthly and keep records – OIG/LEIE and GSA lists as well as state lists for Medicaid
Screen BEFORE you acquire a health care business
If you identify an excluded, debarred or suspended person – take swift action to address it
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If you have any questions, please feel free to give us a call today. We would be more than happy to assist you in these as well as other compliance-related matters.
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Mr. Laher is an attorney in private practice with Liles Parker, PLLC. We counsel and defend Health Care Providers nationwide on Health Law related issues such as Medicare Audits & Fraud Defense, Medicare Prepayment and Over Payment issues, CMS Suspension and Revocation Actions, Practice Specific Gap Analysis, Compliance Plans, Hippa & Osha mandatory training, and with General Counsel and Compliance Officer Services.
State MFCUs (Medicaid fraud Control Units) play the primary role for Medicaid in the investigation and prosecution of provider fraud and patient abuse or neglect in health care facilities