Quality Improvement Organization Manual (Pub. 100-10), Ch. 9 § 9050.5
Imposing an Exclusion Sanction – OIG Responsibilities
9050.5 – Imposing an Exclusion Sanction – OIG Responsibilities
(Rev. 24, Issued: 02-12-16, Effective: 03-14-16, Implementation: 03-14-16)
If an exclusion sanction is imposed because a decision was not made within 120 days after
receipt of the QIO recommendation, notification is as follows: (See 42 CFR 1004.110(f).)
1. As soon as possible after the 120th day, OIG will issue a notice to the practitioner
or other person affirming the QIO recommendation based on OIG’s review of the
case and that the exclusion is effective 20 days from the date of the notice; and
2. Notice of sanction is provided as specified in §9050.4.4.