Medicare Exclusion

42 U.S.C. §1320a-7 outlines the reasons why a healthcare practitioner may be excluded from working in a facility that accepts Medicare. Certain felony convictions, including those involving health care fraud or unlawful manufacture, distribution or drug trafficking, can result in Medicare exclusion. Misdemeanor convictions related to obstruction of an investigation, controlled substances, or engaging in fraud, kickbacks or Stark violations can also result in Medicare exclusion.

If you have been excluded from Medicare or believe you may be excluded, it is crucial that you contact Delegal Law Offices immediately. You have 60 days from your notice of Medicare exclusion to appeal the Office of the Inspector General decision.

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