A Look At OIG's Medicare Exclusion Analysis Under FCA

Law360 (September 7, 2018, 12:21 PM EDT) -- On Aug. 17, 2018, a U.S. Department of Health and Human Services administrative law judge issued a decision upholding the Office of Inspector General’s exclusion of a laboratory and its CEO under Section 1128(b)(7) of the Social Security Act for a period of 15 years. The exclusion was based on the laboratory’s submission of false claims for mileage reimbursement that did not satisfy Medicare’s payment requirements. The decision is notable as it’s the first ALJ permissive exclusion decision under Section 1128(b)(7) of the act since 2011.  

The Allegations

BestCare Laboratory Services LLC is a laboratory located in Webster, Texas, a suburb...

Stay ahead of the curve

In the legal profession, information is the key to success. You have to know what’s happening with clients, competitors, practice areas, and industries. Law360 provides the intelligence you need to remain an expert and beat the competition.


  • Access to case data within articles (numbers, filings, courts, nature of suit, and more.)
  • Access to attached documents such as briefs, petitions, complaints, decisions, motions, etc.
  • Create custom alerts for specific article and case topics and so much more!

TRY LAW360 FREE FOR SEVEN DAYS