OIG EXCLUSION LIST

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Hello everyone. I am from Alabama and voluntary surrendered my RN license and will be eligible to apply for reinstatement once I meet all of the requirements as requested by the board. Recently I received a letter in the mail from the office of inspector general stating that I am being considered to be placed on the OIG exclusion list which means I am able to work anywhere that takes Medicare or Medicaid. They said I had 30 days to reply. What should I include in the letter to try and get them to not place me on the list? Has anyone else experienced this? I need help! I have a family I have to provide for!

I was placed on that list for 3years. I could not work anywhere that accepted Medicare, Medicad, VA benefits.

Specializes in Vents, Telemetry, Home Care, Home infusion.

OIG Exclusions Background Information page will help you understand this program.

MANAGING THROUGH AN EXCLUSION BY THE OIG

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OIG NOTICE REQUIREMENTS – KNOW THE LAW

If an individual and/or entity receives a Notice of Intent to Exclude from the OIG, keep in mind that according to the OIG, it does not necessarily mean they will be excluded. The OIG will carefully consider all information before making a decision. If a provider or entity receives an OIG Notice of Intent to Exclude or a Notice of Exclusion, seeking the advice of an attorney who has experience

This article may help you:

Responding to a "Notice of Intent to Exclude" from the Medicare Program

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You must act quickly when you receive the notice. The deadline for opposing exclusion is only 30 days. During that short time period, you must review the reasons for exclusion that are set forth in the notice, develop your arguments against exclusion, pull together all of the evidence in support of your arguments, and submit your opposition in a persuasive writing that will convince the OIG not to put you on the Medicare exclusion list.

How you respond will depend on whether you are subject to a "mandatory" or "permissive" exclusion....

 

It's in your best interest to hire an experienced Medicare exclusion lawyer to guide you through this process. 

NRSKarenRN said:

OIG Exclusions Background Information page will help you understand this program.

MANAGING THROUGH AN EXCLUSION BY THE OIG

This article may help you:

Responding to a "Notice of Intent to Exclude" from the Medicare Program

It's in your best interest to hire an experienced Medicare exclusion lawyer to guide you through this process. 

If listed on OIG list can one still work at other insurance companies like Blue Cross etc?

Specializes in Vents, Telemetry, Home Care, Home infusion.
Pink_Seashell said:

If listed on OIG list can one still work at other insurance companies like Blue Cross etc?

Since many Blue Cross ,Aetna, Humanna etc companies offers Medicare and Medicaid Managed Care plans, that is a decision each company would need to make.

NRSKarenRN said:

Since many Blue Cross ,Aetna, Humanna etc companies offers Medicare and Medicaid Managed Care plans, that is a decision each company would need to make.

Thank you for your response.  I read the managing OIG exclusion list you posted, however it does not mention where a person can work if listed. My uncle is a NP in CA. He received notice he will placed on the exclusion list.  Any tips you can offer will be appreciated.

Specializes in Vents, Telemetry, Home Care, Home infusion.

Private pay medical spa or IV hydration company might hire as not billing government entity.

NRSKarenRN said:

Private pay medical spa or IV hydration company might hire as not billing government entity.

Hi NRSKaren

Would teaching nursing students be an option if RN/NP license are unaffected? 

Again Thank you so much for your time.

Specializes in Vents, Telemetry, Home Care, Home infusion.

If college/school/nursing students getting government funding, no.   Your uncle needs to check with nursing programs in his area.  Reason being placed on OIG list important too. I'm unable to provide further advice, Assuming he has a lawyer, follow their advice regarding future employment.

NRSKarenRN said:

If college/school/nursing students getting government funding, no.   Your uncle needs to check with nursing programs in his area.  Reason being placed on OIG list important too. I'm unable to provide further advice, Assuming he has a lawyer, follow their advice regarding future employment.

Thank you so very much. 🙂

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