At Nicholson & Eastin, LLP, our team of experienced attorneys specializes in representing health care providers facing Medicare Civil Monetary Penalty (CMP) and exclusion actions by the HHS Office of Inspector General (OIG). We understand the complex regulatory landscape and can provide effective defense strategies to protect your practice and career.
The HHS Office of Inspector General, as well as the Centers for Medicare and Medicaid Services (CMS), have the authority to impose monetary sanctions against Medicare and Medicaid providers for a wide range of regulatory violations. Our attorneys have extensive experience in defending providers against allegations including:
In addition to monetary penalties, HHS-OIG has provider exclusion authority, and CMS has the authority to revoke a provider’s provider number. Both revocation and exclusion can be devastating to a provider’s practice and career and can lead to licensure action by the Department of Health, as well as the loss of hospital privileges and insurance contracts. Some violations require mandatory exclusion or revocation, others are permissive in nature. With respect to the permissive exclusion/revocation authorities, both HHS-OIG and CMS have discretion in whether to impose the sanction and for how long. These actions can have severe consequences, including:
At Nicholson & Eastin, LLP, we prioritize safeguarding your rights and professional reputation throughout the entire process. Our attorneys work diligently to build a strong defense on your behalf, conducting thorough investigations, analyzing complex regulations, and leveraging our extensive expertise in health care law. We understand the gravity of CMP and exclusion actions and strive to minimize their impact on your practice and career. With our guidance and advocacy, you can trust that you have a dedicated legal team fighting for your best interests, advocating for fair treatment, and striving for the most favorable outcome possible. Let us stand by your side and navigate the challenging terrain of HHS-OIG exclusion and CMP defense, providing you with the peace of mind you deserve.
If you receive a notice indicating that HHS-OIG or CMS is considering imposing civil monetary penalties, exclusion, or revocation, it is crucial to seek the advice of experienced legal counsel promptly. Our team can provide expert guidance and develop a robust defense strategy tailored to your specific case. Contact Nicholson & Eastin, LLP today to schedule a consultation and protect your rights and professional reputation in the face of CMP and exclusion actions.