{"id":205,"date":"2018-10-17T00:00:00","date_gmt":"2018-10-17T00:00:00","guid":{"rendered":"https:\/\/norrismclaughlin.com\/hclb\/2018\/10\/17\/exclusion-implications-of-entering-into-false-claims-act-settlements\/"},"modified":"2018-10-17T00:00:00","modified_gmt":"2018-10-17T00:00:00","slug":"exclusion-implications-of-entering-into-false-claims-act-settlements","status":"publish","type":"post","link":"https:\/\/norrismclaughlin.com\/hclb\/hospitals-and-health-systems-fraud-and-abuse\/exclusion-implications-of-entering-into-false-claims-act-settlements\/","title":{"rendered":"Exclusion Implications of Entering into False Claims Act Settlements"},"content":{"rendered":"<p>According to the Office of Inspector General (OIG), the government&#8217;s primary civil tool for addressing health care fraud is the False Claims Act (FCA).\u00a0 Most FCA cases are resolved through settlement agreements in which the government alleges fraudulent conduct and the settling parties do not admit liability.\u00a0 Based on the information it gathers in an FCA case, OIG assesses the future trustworthiness of the settling parties (whether individuals or entities) to decide whether to exclude them from the federal health care programs or take other action.\u00a0 An OIG exclusion effectively \u201ccuts off\u201d a health care provider from being paid by a federal health care program for any items or services furnished, ordered or prescribed.\u00a0 Needless to say, an exclusion can be devastating to the provider.<\/p>\n<p>In determining whether to exclude a settling party, OIG assesses future risk on a case-by-case basis, applying published criteria <a href=\"https:\/\/norrismclaughlin.com\/hclb\/2763\" target=\"_blank\" rel=\"noopener\">here<\/a>.\u00a0 It is essential that providers are aware of and consider these criteria in deciding whether to settle FCA cases.\u00a0 Providers are strongly encouraged to consult with health care legal counsel to assess the risk of exclusion prior to entering into FCA settlement agreements.<\/p>\n<p>If you have any questions about this or any other legal matter, please email me at <a href=\"mailto:dnvozza@norris-law.com\" target=\"_blank\" rel=\"noopener\">dnvozza@norris-law.com<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>According to the Office of Inspector General (OIG), the government&#8217;s primary civil tool for addressing health care fraud is the False Claims Act (FCA).\u00a0 Most FCA cases are resolved through settlement agreements in which the government alleges fraudulent conduct and the settling parties do not admit liability.\u00a0 Based on the information it gathers in an [&hellip;]<\/p>\n","protected":false},"author":113,"featured_media":206,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[42,121],"tags":[219,220,154,156,126,127],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.1 (Yoast SEO v22.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Exclusion Implications of Entering into False Claims Act Settlements - The Legal Diagnosis<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/norrismclaughlin.com\/hclb\/hospitals-and-health-systems-fraud-and-abuse\/exclusion-implications-of-entering-into-false-claims-act-settlements\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Exclusion Implications of Entering into False Claims Act Settlements\" \/>\n<meta property=\"og:description\" content=\"According to the Office of Inspector General (OIG), the government&#8217;s primary civil tool for addressing health care fraud is the False Claims Act (FCA).\u00a0 Most FCA cases are resolved through settlement agreements in which the government alleges fraudulent conduct and the settling parties do not admit liability.\u00a0 Based on the information it gathers in an [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/norrismclaughlin.com\/hclb\/hospitals-and-health-systems-fraud-and-abuse\/exclusion-implications-of-entering-into-false-claims-act-settlements\/\" \/>\n<meta property=\"og:site_name\" content=\"The Legal Diagnosis\" \/>\n<meta property=\"article:published_time\" content=\"2018-10-17T00:00:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/norrismclaughlin.com\/hclb\/wp-content\/uploads\/sites\/16\/2022\/12\/false-claims.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"462\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"David N. 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