On the Medicare Exclusion List? Get Off of It!
Thursday, December 2, 2021
By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law
Often a physician, dentist, nurse, or other health professional will be placed on the Medicare List of Excluded Individuals and Entities, or the LEIE. This can occur because of a state licensing board action against them, a conviction involving a health-related crime, failure to repay a student loan, or many other reasons. Being placed on this list in itself can have severe consequences beyond just a prohibition against billing the Medicare Program.
So, What Happens If You're On the List?
If you are a medical professional and have found yourself on the LEIE, it also means that you cannot work for or contract in any way with an individual or company that bills Medicare, Medicaid, or Tricare.
But wait, it gets worse! When you are placed on the LEIE, you are also placed on the U.S. government’s contractor exclusion (debarment) list. This prohibits any employment by, working for, or contracting with any U.S. government activity, any of its contractors, or any organization which receives funds from the government.
No Automatic Removal.
Additionally, you do not automatically come off the Medicare exclusion list when your time expires. To be removed, you must apply using a lengthy, detailed application obtained directly from the Office of the Inspector General (OIG). In addition, your application answers must be sworn to under oath and notarized.
Don't Wait Until It's Too Late!
The attorneys of The Health Law Firm are experienced at assisting with the completion of applications for removal from the L-E-I-E and reinstatement into the Medicare Program and state Medicaid Programs. When your future career is at stake, don't take a chance.
If you find yourself on the Medicare List of Excluded Individuals and Entities or L-E-I-E, it is vital that you consult with an experienced healthcare attorney right away who can guide you through the process and formulate an appropriate defense to ensure that your best interests are handled. For more information, visit TheHealthLawFirm.com or click here to read one of our prior blogs.
Contact Attorney Experienced in Defending Against Action to Exclude an Individual or Business from the Medicare Program.
The attorneys of The Health Law Firm have experience in dealing with the Office of the Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS), and defending against action to exclude an individual or business entity from the Medicare Program, in administrative hearings on this type of action, in submitting applications requesting reinstatement to the Medicare Program after exclusion, and removal from the List of Excluded Individuals and Entities (LEIE).
To contact The Health Law Firm please call (407) 331-6620 or Toll-Free (888) 331-6620 and visit our website at www.TheHealthLawFirm.com.
About the Author: George F. Indest III, J.D., M.P.A., LL.M., is Board Certified by The Florida Bar in Health Law. He is the President and Managing Partner of The Health Law Firm, which has a national practice. Its main office is in the Orlando, Florida, area. www.TheHealthLawFirm.com The Health Law Firm, 1101 Douglas Ave. Suite 1000, Altamonte Springs, FL 32714, Phone: (407) 331-6620 or Toll-Free: (888) 331-6620.
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