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Office of the Inspector General Updates It's List of Excluded Individuals and Entities


October, 18 2011 - Earlier this month, the Office of the Inspector General (“OIG”) of the U.S. Department of Health and Human Services updated its List of Excluded Individuals and Entities (LEIE). This announcement should serve as a reminder to all Medicare providers to check their employees and contractors against the LEIE database to make sure they have not been excluded from the Medicare and Medicaid programs.

Under federal law, if an individual becomes excluded under any federal program, including Medicare and Medicaid, then the federal government will not pay reimbursement to anyone for services provided by the excluded individual. The government has previously indicated that this title applies not only to clinical services but also to administrative services provided by excluded individuals, including billing and claims processing. Since the government will not pay for any services where an excluded individual provided services, and the government has imposed an affirmative duty on providers to check the exclusion status of their employees, it is important to take the steps necessary to confirm that none of your employees or contractors are on the LEIE.

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Tags: Sharlene A. Hunt, Healthcare

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