How are the procedures different in appeals of Civil Remedies ALJ decisions in OIG civil money penalty and exclusion cases?
In certain cases generally involving charges of fraud and abuse, the Department of Health and Human Services acting through the Office of Inspector General (OIG) may impose a penalty and/or assessment. The OIG may also exclude a provider of health care services from participation in various programs. See definitions at 42 C.F.R. 1005.1. Appeals from these exclusions and civil money penalties (CMPs) are governed by 42 C.F.R. Part 1005. (For information about civil money penalties imposed by the Centers for Medicare and Medicaid Services, which are governed by 42 C.F.R.
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