What Is Medicare Exclusion?

A Medicare exclusion is an administrative action by the Office of Inspector General (OIG) that bans a healthcare provider or business from participating in federal healthcare programs like Medicare and Medicaid. Consequently, these programs will not pay for any services or items ordered, prescribed, or provided by the excluded party. If you are facing an […]
The Triggers for Medicare Fraud Investigations

The United States National Healthcare Anti-Fraud Association has new data. It shows that taxpayers lose more than $100 billion every year because of Medicare fraud. The scale of fraud and the rising number of fraud cases have made Medicare fraud investigations a priority for the Office of the Inspector General at the Department of Health […]