HHS OIG Releases Proposed Rule Regarding Exclusion from Federal Health Care Programs
The proposed rule codifies the OIG’s authority to impose permissive exclusion for:
- Convictions relating to obstruction of an investigation or audit;
- Failure to provide payment information, including by individuals who “order, refer for furnishing, or certify the need for” items or services paid for by Medicare or State health care programs; and
- Making false statements or misrepresenting materials facts in applications to participate as a provider or supplier under a Federal health care program.
Other proposed changes include proposing early reinstatement rules for individuals excluded as a result of losing their licenses, the mandatory exclusion waiver provision, amendments of mitigating and aggravating factors, and other administrative process changes.
Hogan Lovells is currently analyzing the proposed rule and is happy to provide additional information upon request.
Comments to the proposed rules must be received to OIG by 5 PM EST on July 8, 2014.
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