From the oig.hhs.gov website.
“OIG is required by law to exclude from participation in all Federal health care programs individuals and entities convicted of the following types of criminal offenses: Medicare or Medicaid fraud, as well as other offenses related to the delivery of items or services under Medicare, Medicaid, SCHIP, or other State health care programs; patient abuse or neglect; felony convictions for other health care-related fraud, theft, or other financial misconduct; and felony convictions relating to unlawful manufacture, distribution, prescription, or dispensing of controlled substances.”
Sometimes an individual who has been in trouble will move to another state and attempt to resume or practice their medical profession. Such was the case with Laura Lynn Bell, who also went by the name Sukanlaya Hughes.
Laura Bell was a nurse in Arizona when her license was suspended in 2015 for domestic violence arrest among other things. From there she went on to defraud Veteran Affairs of almost $800,000. Without a license, and with charges against her, Laura attempted to steal an identity, forging documents and papers in the name of Alicia Houston. This was a skill she was already adept with since she stole identities of nurse practitioners and former patients to bill for medical services while working for VA.
A quick glance on nursys shows Laura Bell was able to practice nursing in six different states with a seventh as an applicant for a nurse practitioner in North Dakota before she was caught and her licenses revoked.
People like Laura Bell must be carefully scrutinized because they do what they can to slip under the radar and emerge somewhere else where they can continue to harm the people they look after. This makes it essential to check against databases such as the Federal OIG because these databases allow checks by SSN. Undoubtedly there will be those who find a way to change their social security numbers, but the extra precaution might unearth clues to things behind the scenes.