Which statement accurately describes Exclusion Authorities?

• A. The provider may still bill.
• B. The provider may not bill for treating patients, and an employer may not bill for the provider's services.
• C. Government may exclude inviolate providers from participation; provider and employer may not bill.
• D. Applies only to criminal penalties.

Answer: (C)

Exclusion authorities let the government bar a person or entity from participating in federally funded health care programs. When someone is excluded, they cannot provide services that get paid by programs like Medicare or Medicaid, and their employer cannot bill for that excluded person's services within those programs. This administrative sanction is separate from criminal penalties and can apply to both individuals and organizations for misconduct such as fraud, waste, or abuse. The statement reflects this: the government may exclude the provider from participation, and the provider and employer may not bill for the excluded services.