Exclusion Update!

12-09-2016
NY Physician Agrees to 5 Year Exclusion

On December 9, 2016, Dr. Michael Esposito agreed to be excluded from participation in all Federal health care programs for a period of five years under 42 U.S.C. § 1320a-7(b)(7). The OIG’s investigation revealed that Dr. Esposito forged the signature of another physician on prescriptions for medications for himself and another person that were paid for by the Medicare program.

On the Radar

Fraud comes in many measures.  But by any measure, falsifying a physician’s signature by forgery in order to prescribe puts you in the direct eye sight and line of investigation and prosecution of at least the Dept of Justice, as well as, on the radar of the  Drug Enforcement Agency and state medical boards (not to mention the possibilty of identity theft).  

A signature belongs to an individual. The misuse or forgery of another is a crime.  Using it to gain a prescription is fraud and thus Dr. Esposito came under the microscope of the OIG and ended up on the exclusion list. 

Find out how to get off the OIG exclusion list > here

New to the scene? Check out our audit series:
Hi, I am an Auditor and I am Here to Help
How to Conduct an Effective Health Care Audit
Be Audit Ready – All the Time
You’ve Finished Your Internal Audit. Now What?

Written by Michael Rosen, ESQ
ProviderTrust Co-Founder, mrosen@providertrust.com

Michael brings over 20 years of experience founding and leading risk mitigation businesses, receiving numerous accolades such as: Inc Magazine’s Inc 500 Award and Nashville Chamber of Commerce Small Business of the Year
Connect with Michael on Linkedin

 

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