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Table 1 Selected LEIE rules

From: Investigating the relationship between time and predictive model maintenance

Rule number

Description

Exclusion period

1128(a)1

Conviction of program-related crimes

5 years

1128(a)2

Conviction due to patient abuse or neglect

5 years

1128(a)3

Felony conviction due to healthcare fraud

5 years

1128(b)4

License revocation or suspension

5 years

1128(b)7

Fraud, kickbacks and other prohibited activities

5 years

1128(c)(3)(g)(i)

Conviction of two mandatory exclusion offenses

10 years

1128(c)(3)(g)(ii)

Conviction of 3 mandatory exclusion offenses

Indefinite