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Frequently Asked Questions

What is OIG's exclusion authority?

This webpage provides information about OIG's exclusion authority and activities. OIG has the authority to exclude individuals and entities from Federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud.

Can OIG exclude you from federal health care programs?

OIG has the authority to exclude individuals and entities from Federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud. Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe.

What happens if a healthcare entity hires someone on the exclusion list?

If a healthcare entity hires someone who is on the list, the employer is subject to fines of $10,000 for “each item or service furnished” by someone while on the exclusion list, such as dispensing medication or providing services to patients.

How do I file a complaint with HHS-OIG?

HHS-OIG’s Hotline reviews and investigates thousands of complaints each year. We recommend you review Before You Submit a Complaint to understand the type of complaints we do and do not investigate and the complaint process. Start your online complaint with HHS-OIG by selecting an option below.


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