Long Term Care & Senior Living Blog

The Office of the Inspector General (OIG) released its report of Provider Self-Disclosure Settlements for the first quarter of 2016. During the first three months of 2016, the OIG reports that 8 health care providers self-reported employing individuals that the employer knew or should have known were excluded from participation in Federal health care programs. As a result of these 8 self-reports, the employers agreed to pay Civil Monetary Penalties (CMPs) exceeding a total of $600,000.00 following their self-disclosures.

The OIG has demonstrated an increased focus on investigating employers to determine whether any employees are excluded from participating in Federal health care programs. When the OIG investigations reveal excluded employees, who allegedly provided items and services to Federal health care programs beneficiaries resulting in payments to the employers, the OIG has sought and obtained settlements to resolve those allegations.