Regain Your Medicare and Medicaid Eligibility with Former Federal Lawyers Who Know the System from the Inside

National Security Law Firm: It’s Our Turn to Fight for You.

Understanding HHS Exclusions and CMS Revocations

Losing your eligibility to bill Medicare or Medicaid can end a career overnight. Whether it’s an OIG exclusion, a CMS revocation, or placement on the Preclusion List, these sanctions block your ability to treat federally insured patients, bill for services, or even work for other covered entities.

At National Security Law Firm (NSLF), our attorneys understand how devastating these actions are—both professionally and personally. We also understand how to fix them. Led by Duane “Dak” Kees, a former U.S. Attorney with strong relationships throughout the government as a result of his service as both a U.S. Attorney and a military judge, our team knows how to work within the system to restore eligibility and rebuild trust with federal healthcare programs.

Our goal is simple: to get you reinstated quickly, completely, and sustainably.

What Are OIG Exclusions and CMS Revocations?

Both HHS’s Office of Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) can bar a provider from participating in federal healthcare programs—but they do so under different legal authorities and procedures.

  • OIG Exclusion: Bars a provider from all federal healthcare programs, including Medicare, Medicaid, and TRICARE. Based on Section 1128 of the Social Security Act (42 U.S.C. § 1320a-7).

  • CMS Revocation: Terminates a provider’s Medicare billing privileges under 42 C.F.R. § 424.535, often due to licensure issues, billing irregularities, or failure to maintain enrollment standards.

  • CMS Preclusion List: Since 2019, CMS can bar excluded or revoked providers from Medicare Advantage (Part C) and Prescription Drug Plans (Part D) even without formal OIG exclusion.

Many physicians experience both actions at once. Reinstatement requires navigating two separate bureaucracies, each with distinct rules, appeal rights, and timing.

Common Reasons for Exclusion or Revocation

  • License suspension or revocation

  • Criminal convictions involving fraud or controlled substances

  • Overpayment or default on government health education loans

  • Submission of false or misleading information on enrollment forms

  • Billing or documentation noncompliance

  • Failure to maintain site control or active practice status

  • Exclusion or disciplinary action in another state

Each of these issues has specific procedural and evidentiary implications. At NSLF, we assess every factor to build the most credible reinstatement record possible.

Our Approach: Precision, Proof, and Rehabilitation

Reinstatement is not about persuasion—it’s about verification. Success depends on demonstrating to OIG and CMS that:

  1. The underlying cause of exclusion or revocation has been fully resolved.

  2. The provider has implemented effective compliance controls.

  3. The provider poses no ongoing risk to program integrity.

We craft detailed reinstatement packets that include:

  • Proof of license restoration

  • Compliance and ethics training certificates

  • Restitution or repayment documentation

  • Professional references and attestations

  • Legal and factual summaries addressing each regulatory element

Our team works directly with HHS OGC and CMS contractor to confirm receipt, clarify procedural ambiguities, and resolve any bottlenecks in processing.

Why Choose National Security Law Firm

When your career is on the line, experience inside the system makes all the difference.

At National Security Law Firm, we bring a unique combination of federal, military, and regulatory experience that few other firms can match.

  • Led by Former U.S. Attorney Duane “Dak” Kees — Dak maintains relationships with HHS Office of General Counsel and brings insider understanding of agency procedure.

  • Unmatched Federal Experience — Our attorneys are former government lawyers, prosecutors, and military officers with deep administrative law expertise.

  • Strategic Agency Communication — We know how to engage OIG and CMS with professionalism and precision to keep your reinstatement on track.

  • Reputation You Can Trust — Backed by 4.9-Star Google Reviews from clients nationwide.

  • Nationwide Representation — We represent physicians, pharmacists, and healthcare providers in all 50 states.

  • No-Nonsense Guidance — We focus on results, documentation, and timelines—not empty promises.

The NSLF Advantage: Former Federal Lawyers Who Know How to Win

When you’re facing the federal government, you need advocates who have fought inside it.
At NSLF, we leverage our federal and military backgrounds to navigate HHS’s complex reinstatement systems with the same precision we once applied to high-stakes prosecutions and investigations.

Whether you are:

  • A physician whose Medicare billing privileges were revoked

  • A practice owner excluded from Medicaid participation

  • A nurse practitioner or pharmacist seeking reinstatement after license restoration

  • Or a healthcare executive facing parallel federal and state sanctions

We can help you regain eligibility and rebuild your professional standing.

HHS Exclusion, CMS Revocation and Reinstatement Resource Center

To help providers understand the process and avoid future sanctions, explore our most-read guides:

Ready to Restore Your Federal Program Eligibility?

You’ve worked too hard to let one regulatory action end your medical career. Our attorneys will review your exclusion or revocation notice, map out your reinstatement path, and handle every step—from appeals to full re-enrollment.

Consultations are free, confidential, and pressure-free.

📞 Call 202-600-4996
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National Security Law Firm: It’s Our Turn to Fight for You.