United States Department of Health and Human Services
DEPARTMENTAL APPEALS BOARD
Civil Remedies Division
In the Case of:
Date:
Petitioner,
- v. -
The Inspector General.
INFORMAL BRIEF OF INSPECTOR GENERAL
The Inspector General (I.G.) determined to exclude Petitioner, _____________,
from participating in Medicare, Medicaid, and other federally-funded health care
programs. The statutory basis given for the exclusion is section(s) ______ of the
Social Security Act (Act). The duration of the exclusion is for at least _____ years,
or, in the case of an exclusion imposed pursuant to sections 1128(b)(4),
1128(b)(5), or 1128(b)(14) of the Act, until _______.
The issues in this case are whether:
1. The I.G. has the authority to exclude Petitioner; and
2. The length of the exclusion is reasonable, in the case of any
exclusion that is not for a minimum mandatory period.
I. Authority for the exclusion. Describe each fact that supports the I.G.’s
determination that Petitioner may or must be excluded pursuant to section(s)
of the Act and explain why these facts support your argument that an exclusion is
authorized or mandated.
Docket No. C-
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