What are the two types of OIG exclusions?

The correct answer identifies the two types of exclusions as Mandatory and Permissive. Understanding these terms is crucial for compliance professionals in the healthcare field.

Mandatory exclusions are those required by law, meaning that if specific criteria are met—such as a felony conviction related to healthcare or patient abuse—individuals or entities must be excluded from participating in federal healthcare programs. This exclusion is non-negotiable and must be enforced by the Office of Inspector General (OIG).

On the other hand, permissive exclusions give the OIG the discretion to exclude an individual or entity based on certain circumstances. While the OIG may choose to exclude those involved in fraud or other misconduct, it is not required to do so. These cases are often assessed on an individual basis, allowing for consideration of the specific facts and context.

Understanding these distinctions helps in ensuring compliance and guiding organizational practices around who may participate in federal healthcare programs and under what conditions.