Providers On the OIG Exclusion List

OIG Excluded Providers

Author: Jessica Bohm/Wednesday, April 12, 2017/Categories: APCI Choice, CAPS

CAPS has noticed an increase in pharmacy audits and recoupments for claims prescribed by OIG excluded providers.  CMS has strict guidelines pertaining to any payments of claims prescribed by an excluded provider.  According to CMS those claims were paid in error and must be reversed and the money recouped.  There is a way to reduce the chance of money being recouped from your pharmacy and that is by checking prescribers once a month.  The Office of Inspector General or OIG has the exclusion list in a downloadable format.  This list is updated monthly, you can even sign up to get alerts via email or text when there is a new list available.  Below I have included the links you will need.

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