Owner/Managing Relationships of Provider Now Subject to OIG Exclusion

The Office of Inspector General (OIG) of the U.S. Department of Health and Human Services has the authority to exclude individuals and entities from Federally funded health care programs. Exclusions are imposed for a number of reasons. As of January 4, 2015, the termination of an NCTracks provider may occur due to the identification of an owner/managing relationship with an OIG exclusion. Owners/managing relationships of a provider were not previously included in the monthly evaluation process using OIG exclusion data. Providers terminated for this reason will receive a letter which states "PROVIDER IS TERMINATED DUE TO AN OWNER OR MANAGING EMPLOYEE WITH AN OFFICE OF INSPECTOR GENERAL EXCLUSION FINDING." The letter will also explain how to request reconsideration of the decision.