How Does An Individual Become Excluded?

Are you worried because your name is posted on the OIG exclusion list and it is following you like a scarlet letter wherever you are going? It may also prevent you from working with any healthcare company that uses Medicaid or Medicare, as every healthcare organization carries out OIG Background Check before employing anybody in the organization.

How does an individual become excluded?

The entire process of the OIG exclusion is maintained by regulations that execute sections of the social security act. When an individual gets a notice of intent to exclude, it doesn't mean that they will be excluded. OIG will first consider every material offered by the person before making the final decision. The whole process of administration is the same for both mandatory and permissive exclusions. The OIG first send written notices to the person that contains all reasons for exclusion and its effects. Then it allows the individual 30 days to get all information and evidence on whether or not exclusion is warranted. After that OIG will make the final decision whether to grant exclusion or not. In most of the cases, you can be reinstated. Have a look at several ways on how to get off the exclusion list.

The whole process of reinstatement is not at all automatic, even if the person is excluded for a specific period. At the end of the term, the person has to apply for reinstatement and obtain an authorized notice from the OIG that the request was granted. After that, you can participate in all kinds of federal healthcare programs. The process of reinstatement starts 90 days after the end of the excluded period. If you apply before that period, then your application will not be considered.

Once OIG grants your request for reinstatement, then congratulations you are off from the list, your name will not show off in any kind of OIG background check. But if by any chance OIG denies your request, then you have to reapply again and repeat the whole process. The whole process of reinstatement can be long and hectic, but when the established process is followed, you can efficiently get your name off from the list.

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