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!

Thanks so much for that information. I have been trying to figure out maybe a career in corrections because that is the kind of nursing I used to do and I am familiar with all of the procedures and all plus they have state retirement. Thanks for the information. 

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trlg89 said:

Thanks so much for that information. I have been trying to figure out maybe a career in corrections because that is the kind of nursing I used to do and I am familiar with all of the procedures and all plus they have state retirement. Thanks for the information. 

Welcome. 

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Specializes in Registered Nurse.

I am new to all of this...Just found out I am on the OIG exclusion list. I completely regret surrendering my nursing license and I am not sure I had the best lawyer. I desperately need job. Any advice??

 

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Amy Wagz said:

I am new to all of this...Just found out I am on the OIG exclusion list. I completely regret surrendering my nursing license and I am not sure I had the best lawyer. I desperately need job. Any advice?

 

I recommend going into another field. You are not going to work in Healthcare for at least 5 years and maybe 7. Now that you surrendered your license, it will be extremely difficult to get a state license for anything for the next 5 years to inclide real estate and bar tending. Retrain, consider going into IT and not IT Healthcare coding or billing because you can't do that. Do straight up IT. Truck driving is an option. Even becoming a school teacher could be tough because it requires a license.

I'm sorry about your situation. I will repeat this for a millionth time to all reading, NEVER surrender your license. It's a complete disaster. 

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My LPN licenses is  suspended until I finish my requirements from the board for falsifying documentation. I was also put on OIG exclusion for 10 years. Is there a way to find out if a facility is private pay before I apply? Can I work in another department of a facility with Medicaid or Medicare such as receptionist or dietary or housekeeping.

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Nurse life 26 said:

My LPN licenses is  suspended until I finish my requirements from the board for falsifying documentation. I was also put on OIG exclusion for 10 years. Is there a way to find out if a facility is private pay before I apply? Can I work in another department of a facility with Medicaid or Medicare such as receptionist or dietary or housekeeping.

You can't work in another department, even receptionist or dietary or housekeeping. The OIG laws are that strict. You literally can't work in the building and if it's a Healthcare company, you can't even do IT. As to which facilities take Medicaid and/or Medicare..........basically ALL of them. If they take 1 penny per year, it excludes you. Therr are some cash pay or barter pay only clinics in rural Appalachia that still exist, but these will have no openings and only employ 2 or 3 people. Dialysis, community health, forget about it. One exception is aesthetician clinics. These aren't Medicare/Medicaid facilities, but their turnover is near zero. People love those jobs and when they get them, they don't leave, and most of them don't have RNs or LPNS, they have medical assistants. 

If a nurse surrenders their license, I will repeat this.....it's a Disaster. Go back to college immediately and plan on a complete career change. For the OIG list, you can sometimes around this and get off of it as soon as your license is no longer Suspended and you get it active again, so you have a chance to get off of it quickly once you get your license out of suspension. For someone that surrenders their license, it's a done deal, final, there's no getting off of it until the 7 or 10 years are up.

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I was told by the mentoring agent for the BON that once they settle on OIG exclusion it is impossible to get it reduced.He said it is worse to try and talk to them about reversing it. This was never discussed with me when the case was own. My lawyer said nothing!

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If I am not able to go back to nursing, how should I adjust my resume? Nursing has been my job for 17 yes. I was an aide for 9 years before that! I'm completely lost!

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Nurse life 26 said:

I was told by the mentoring agent for the BON that once they settle on OIG exclusion it is impossible to get it reduced.He said it is worse to try and talk to them about reversing it. This was never discussed with me when the case was own. My lawyer said nothing!

Stop listening to "mentoring agents" from the BON (whatever the he$$ a "mentoring agent" is). Your mentoring agent either lied to you or they are dumber than a rock as it relates to the OIG list because the information you were given was 100 percent FALSE. I was placed on the OIG exclusion list when my license was suspended and it was a 5 year exclusion. At the 1 year mark when I got my license back, I was able to get off of my state Medicaid Debarment List and soon after, I then got off the OIG exclusion list as I had proof of a reinstated license and completed extensive rehab. There are different types of exclusions or different type of REASONS for getting on the OIG and these Matter.   IF....you have an OIG exclusion due to a Felony criminal Conviction (I wrote conviction, not a charge, but a Conviction) or an OIG exclusion due to a Surrendered License, there is ZERO chance of getting off of this list until the 7 or 10 years are up. But..........an OIG exclusion for a SUSPENDED license is a different type of exclusion. The suspension can be rectified. You get your license back and......you correct the problem that caused the suspension such as rehab, therapy, etc, and in this case, you can get off of the list in fairly short time upon getting your license reinstated and no longer suspended.

You can also "talk" to people at the Federal Inspector Generals Office, not "mentoring agents at the BON" who don't have a clue, but people that actually work at the Federal OIG office. They aren't aholes. They actually gave me helpful information on what to do, how to get off of it, what I needed to do in order to get my application approved, and they were so helpful that I didn't even need a lawyer to do it. 

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Nurse life 26 said:

If I am not able to go back to nursing, how should I adjust my resume? Nursing has been my job for 17 yes. I was an aide for 9 years before that! I'm completely lost!

What do you mean how do you adjust your resume? 

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Specializes in Medsurge.

I am facing the same dilemma regarding how to modify my resume in order to find a job elsewhere. 

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Specializes in Medical FP, ED.

Hi everyone, I'm writing to anyone that has information regarding my situation. I will include a chronological timeline to keep things short and simple 

-graduated nursing school 2020
- self reported  medication error while on a travel assignment (I was new nurse, graduated during COVID, worked for about 8 months, did not complete training with my preceptor because I was "one of the best new grads they'd seen", wanted to try travel nursing and was encouraged by my manager to do it)

-manager at the facility where the incident happened thought it was an isolated incident

-however the patients insurance company reported me to the boards a year later  

- I was away on an assignment but when I got home I opened my mail and I was literally a day late responding to the MO BON. They suspended my license in that state which caused my home state to authorize a mandatory suspension

-luckily I had a license in another state, and previously completed a contract there where the manger loved me  I was placed on probation for 1 year with that state

-I went before the boards of my home state for a formal hearing. I plead my case, provided several daisy awards, CEU's, character and professional references and was found to be fully competent and non negligent. Pending completion of my probation, I would receive an UNENCUMBERED multistate license back  

 

-well, a month prior to my completion I get notice from the CA BON stating they wanted to investigate. That I would need to hire another attorney.  I was already 22k in and just couldn't fathom another financial blow. The DA recommended I "surrender my license". BIIIIG mistake and I feel totally set up. However, my court docs stated that I can reapply for licensure on 12/2025 (which I fully plan to do), so I didn't think it could be that bad.

- after finishing my probationary period and getting my license back I was able to return back to traveling while maintaining a PD position.

- as of now I'm on the CA medical debarment list (not the OIG) and have been since 1/2024, which caused a chain reaction of things to occur; lost all use of apps that allow you to pick up shifts, lost my multistate license in 12/24 while working PD at a hospital, I am currently pregnant with no insurance and don't think I'll be accepted for medicaide.  my manager at my current job knows what has happened and I'm kinda hanging out in limbo. Since I do not have a license to technically work in this state she's "holding" my position

-I applied for a license in NJ and it has taken foreverrr. I'm at the 6 month mark and while that may seem excessive, reviews on Google tell me that this is unfortunately the norm with NJ. My license has been approved, however I'm being sent to "legal", which I'm sure entails some sort of probation or class work.

I plan to write a letter to attempt to get myself removed from the debarment list. 

So- my questions to you all is

1:  I plan to petition for removal from the medical debarment list in CA- does anyone have advice or any specifics that I should include?

2: has anyone been through anything similar?

3: I plan to reapply for my CA license- any advice? CA isn't easy and I'm concerned that they will want to place me on probation nearly 5 years after the initial incident. I haven't had any negative remakes since the initial occurrence, I have precepted new nurses and all of my managers and coworkers love me. It might seem odd but I truly care each and every person that I work with, my patients are my top priority but I also help all of my fellow nurses, CNAs, even EVS when I have the time. 
 

4: any general advice on the route I should take? I know this seems like a lot but I truly love nursing and I love my patients (even the unruly ones 🙃).

 

thank you in advance to anyone that has read my post and is able to offer some advice- definitely not short and to the point as originally stated

Good luck to everyone in their nursing careers, I think it's safe to say if you're reading this post you might also be in a bit of a pickle

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