Could any of you explain how it is that a RN gets put on the OIG list and what this entails. I am just curious as to what I may be facing. I am right now in the investigation process and holding my breath. I did not divert meds however I quit my job after I got a DUI and possession, I self reported myself. I am holding my breath but trying to breath. I have been able to maintain my sobriety with the help of God, great sponsor and 12step group which is anonymous. Thanks for any information.
Dec 2, '09
by NRSKarenRN, BSN, RN
office of inspector general (oig) exclusions list
what is the effect of an exclusion?
special advisory bulletin on the effect of an exclusion
for many years the congress of the united states has worked diligently to protect the health and welfare of the nation's elderly and poor by implementing legislation to prevent certain individuals and businesses from participating in federally-funded health care programs. the oig, under this congressional mandate, established a program to exclude individuals and entities affected by these various legal authorities, contained in sections 1128
of the social security act
, and maintains a list of all currently excluded parties called the list of excluded individuals/entities.
bases for exclusion include convictions for program-related fraud and patient abuse, licensing board actions and default on health education assistance loans.
types exclusions: http://oig.hhs.gov/fraud/exclusions/authorities.asp
in a nutshell:
all health care employers are required to check oig website upon hiring for " oig sanction imposed/exclusion". any conviction for medicare/medicad fraud, defaulting on govenement student loans, and some licensing board actions especially involving drug diversion/drug sales and patient abuse will prevent one from being hired in a facility receiving funding from medicaid, medicare or other government programs once placed on this list. this several limits job opportunities when unable to pass "sanction clearance/check"
see: online searchable database
if your name is listed.
Last edit by NRSKarenRN on Jun 21, '10