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Excluded Individuals

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Prior to hiring, a dental practice should consider determining whether an individual has been “excluded” by the U.S. Department of Health and Human Services Office of Inspector General (OIG).

If an individual has been excluded, no federal health care program will pay the individual or the practice for any items or services that the excluded individual furnishes, orders, or prescribes, regardless of who submits the claims. The dental practice may also be exposed to civil monetary penalties if it submits claims to a federal health care program for items or services provided directly or indirectly by an excluded individual.

The OIG maintains a list of excluded individuals and entities in its online, searchable exclusions database known as the List of Excluded Individuals and Entities (LEIE), which is available at https://oig.hhs.gov/exclusions/. Information about the exclusion program and the database is available at the OIG website, www.oig.hhs.gov. The OIG website provides frequently asked questions about exclusions and the LEIE at https://oig.hhs.gov/faqs/exclusions-faq.asp.

Creating and Updating an Employee Policy Manual: Policies for Your Practice

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