OIG’s List of Excluded Individuals/Entities

May 8, 2017
Rick Gawenda

Do you think that physical therapists and business owners of physical therapy clinics never get into trouble with the Centers for Medicare and Medicaid Services? Every month, the Office of the Inspector General (OIG) publishes a list of excluded individuals and entities currently excluded from participation in Medicare, Medicaid and all other Federal health care programs.

There are several types of exclusions an individual or entity could be assigned.  Click here for the the full list. Some of the more common ones for physical therapy are the following:

1128a1 – Conviction of program-related crimes. Minimum Period: 5 years

1128a2 – Conviction relating to patient abuse or neglect. Minimum Period: 5 years

1128a3 – Felony conviction relating to health care fraud. Minimum Period: 5 years

1128b4 – License revocation or suspension. Minimum Period: No less than the period imposed by the state licensing authority

To view the excluded list for the month of April 2017 for physical therapy and rehab facilities, Click HERE.

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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.

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