[Federal Register Volume 78, Number 90 (Thursday, May 9, 2013)]
[Notices]
[Pages 27242-27243]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-11055]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of Inspector General

[Docket Number: OIG-1300-N]


Updated Special Advisory Bulletin on the Effect of Exclusion From 
Participation in Federal Health Care Programs

AGENCY: Office of Inspector General (OIG), HHS.

ACTION: Notice.

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SUMMARY: This notice announces the release of an updated Special 
Advisory Bulletin on the effect of exclusion from participation in 
Federal health care programs by OIG. The updated Special Advisory 
Bulletin describes the scope and effect of the legal prohibition on 
payment by Federal health care programs for items or services furnished 
(1) by an excluded person or (2) at the medical direction or on the 
prescription of an excluded person. For purposes of OIG exclusion, 
payment by a Federal health care program includes amounts based on a 
cost report, fee schedule,

[[Page 27243]]

prospective payment system, capitated rate, or other payment 
methodology. The updated Bulletin describes how exclusions can be 
violated and the administrative sanctions OIG can pursue against those 
who have violated an exclusion. The updated Bulletin also provides 
guidance to the health care industry on the scope and frequency of 
screening employees and contractors to determine whether they are 
excluded persons.
    OIG has posted the full revision of the Special Advisory Bulletin 
on its Web site: http://oig.hhs.gov/exclusions/advisories.asp.

FOR FURTHER INFORMATION CONTACT: Patrice S. Drew, Congressional and 
Regulatory Affairs, Office of Inspector General, (202) 619-1368.

Daniel R. Levinson,
Inspector General.
[FR Doc. 2013-11055 Filed 5-8-13; 8:45 am]
BILLING CODE 4152-01-P