When a provider is excluded from the Medicare program, what is a likely result?

When a provider is excluded from the Medicare program, the most likely result is that all future claims submitted by that provider will be denied. This exclusion means that the provider is no longer eligible to receive reimbursement for services rendered to Medicare beneficiaries. The Medicare program strictly prohibits payment for services provided by excluded individuals or entities, ensuring that beneficiaries are only served by qualified providers.

This exclusion process is in place to maintain the integrity of the program and protect beneficiaries from potentially substandard care. Therefore, any claims filed with the Medicare program by an excluded provider will not be processed or reimbursed, leading to the denial of those claims.

In contrast, the other options suggest continuity of reimbursement or operational capability that does not align with the implications of exclusion. For example, ongoing reimbursement or honor of claims would undermine the purpose of the exclusion and could expose the Medicare program to fraud and improper billing practices.