STATUTORY AUTHORITY
1128(b)(2) — Conviction relating to obstruction of an investigation or audit
Conviction for interference with or obstruction of an investigation or audit related to health care fraud or a controlled substance offence.
What this means for a placement decision
Federal health care programmes will not pay for any item or service furnished by, or at the medical direction of, an excluded party. Civil monetary penalties can accrue per claim submitted. Confirm the identity of this record against the person or entity in front of you before acting on it — the OIG file carries name, date of birth, and where available an NPI for exactly that purpose.
Confirming identity
This record carries no NPI. Identity must be confirmed against the other corroborating fields before it is treated as a match — a name alone is not an identification.
Verify against the OIG online searchable database →