Why Medicare, Medicaid, and Other Federal Health Care Program Participants Should Regularly Screen CMS Revocation Database
The Centers for Medicare & Medicaid Services (CMS) recently posted a database on its website that identifies individuals…
Category Exclusion Screening
Exclusion screening is the federal and state compliance obligation to verify that healthcare employees, vendors, and contractors are not barred from participating in Medicare, Medicaid, or other federally-funded programs. Every healthcare provider that bills a federal program is required to screen upon hire and monthly thereafter against the OIG LEIE, GSA/SAM, and all 44 state Medicaid exclusion lists. Failure to screen exposes providers to civil money penalties of up to $24,947 per violation, overpayment liability, and potential False Claims Act exposure. This section of the site is the definitive hub for exclusion screening compliance: the pillar guides, state-by-state requirements, enforcement trends, and the regulatory framework explained by the former federal prosecutors who built it.
Read MoreWhy Medicare, Medicaid, and Other Federal Health Care Program Participants Should Regularly Screen CMS Revocation Database
Should Medicare and Medicaid Providers and Suppliers Screen Against the OFAC Sanction List?
One question that is regularly asked by Exclusion Screening clients is whether a health care provider or supplier…
The Definitive Guide to OIG Exclusions
Key Takeaways An OIG exclusion is a final administrative action that bars an individual or entity from all…
Wyoming Medicaid Exclusion List: A Provider’s Guide
The state of Wyoming maintains the Wyoming Medicaid Exclusion List — a separate Medicaid exclusion list providers must…
Wisconsin Medicaid Exclusion Screening: A Provider’s Guide
Wisconsin does not maintain a separate Medicaid exclusion list. Providers must still screen the federal OIG LEIE and…
West Virginia WV Medicaid Provider Sanctioned/Exclusion List: A Provider’s Guide to the West Virginia Medicaid Exclusion List
The state of West Virginia maintains the West Virginia WV Medicaid Provider Sanctioned/Exclusion List — a separate Medicaid…
Virginia Medicaid Exclusion Screening: A Provider’s Guide
Virginia does not maintain a separate Medicaid exclusion list. Providers must still screen the federal OIG LEIE and…
Vermont DVHA Medicaid Excluded Providers: A Provider’s Guide to the Vermont Medicaid Exclusion List
Vermont Department of Vermont Health Access maintains the Vermont DVHA Medicaid Excluded Providers — a separate Medicaid exclusion…