Exclusion Screening Services
Trusted exclusion screening and monitoring services that help organizations reduce risk and stay compliant.
Employee Screening
Screen employees and candidates against exclusion lists to support regulatory compliance.
See Exclusion Screening for Employees
Vendor & Contractor Screening
Reduce regulatory risk and ensure compliant business relationships.
See Exclusion Screening for Vendors
Compliance Hotline
A confidential reporting channel for employees and partners to report concerns.
See Our Compliance Hotline
We Handle Your Compliance So You Can Focus on Your Practice.
Our comprehensive coverage database encompasses the OIG’s List of Excluded Individuals and Entities (LEIE), the General Services Administration’s System for Award Management (GSA/SAM), and all currently available 37 State Exclusion Databases, making it more extensive than systems that only check federal lists.
Your compliance obligations, our responsibility.
We meticulously handle all your Federal and State exclusion screening and verification, ensuring your complete compliance with zero effort on your part.
We welcome any questions
Frequently Asked Questions
Exclusions are final administrative sanctions imposed by the Office of Inspector General for the Department of Health and Human Services (HHS/OIG, or simply OIG) that bar individuals and entities from participating in Federal and State health care programs such as Medicare, Medicaid, CHIPs, and any other program that receives federal funding. Federal programs are prohibited from paying for items or services provided by excluded parties, and providers that employ or contract with them risk the imposition of civil money penalties and significant overpayments liability. In addition to the authority to impose exclusions, OIG is authorized to enforce compliance with exclusion regulations through civil money penalties and overpayments.
Providers should screen prior to employment or to the initiation of a business relationship and monthly thereafter. Monthly screening makes sense because a person’s exclusion status is always subject to change. It is required by all Medicare Advantage Plans, all State Medicaid Programs, and all Medicaid Managed Care Organizations. In addition, CMS and the OIG have equivocally expressed its support, and the OIG has linked a failure to screen with overpayment and CMP liability.
Providers are responsible for ensuring the exclusion statutes of all employees, vendors and contractors that provide items or services, directly or indirectly, in whole or in part, that are payable by federal health care programs. This is not limited to direct billers, and examples of services identified by the OIG include the following: transportation service providers, administrative services, medical equipment suppliers, billers and coders pharmacists, etc. When in doubt as to who should be screened, providers may want to consider that the OIG has stated that civil penalty liability is “greatest for those persons that provide items or services integral to the provision of patient care.”
OIG-LEIE updates its list monthly, while GSA-SAM and state exclusion lists vary. We automatically update our lists each month to ensure that our clients’ employees and vendors are screened against the most up-to-date databases.
At Exclusion Screening, we think it is critical to screen employees and vendors against OIG-LEIE, GSA-SAM, and all of the state Medicaid exclusion lists available.
Absolutely! Exclusion Screening recommends limiting your exclusion screening to three individuals, but, we provide additional logins depending upon your specific size and needs.
Have Additional Questions? Send us an email and we’ll answer it as soon as possible.
Your Referral Keeps Healthcare Safer
We’re honored to help organizations maintain compliance and protect patients. If you know another healthcare provider who could benefit from our exclusion screening services, we’d love your referral.
