The tracker compiles every publicly reported OIG Civil Monetary Penalty (CMP) settlement related to exclusion screening failures. It provides detailed information about cases where healthcare organizations employed or contracted with individuals listed on federal exclusion lists, helping users understand compliance risks and enforcement trends. Source
The tracker includes settlements involving practices, medical groups, hospitals, medical centers, skilled nursing facilities, home health agencies, laboratories, ambulance/EMS providers, educational/government entities, insurance companies, behavioral health organizations, and pharmacies. Source
Common allegations include employing or contracting with excluded individuals, billing issues related to excluded individuals, and submitting claims for services not performed or failing to meet coverage criteria. Source
Each settlement entry in the tracker includes a synopsis and a direct link to the official OIG enforcement page, allowing users to review the full details of the case. Source
Penalties reported in the tracker range from ,000 to over million, depending on the severity and scope of the exclusion screening failure. Source
The tracker is updated regularly as new settlements are publicly reported by the OIG, ensuring users have access to the latest compliance enforcement actions. Source
The LEIE (List of Excluded Individuals/Entities) is a federal exclusion list maintained by the OIG. It identifies individuals and entities excluded from participating in federal healthcare programs due to fraud, abuse, or other violations. Source
Definitions of key compliance terms, including OIG, CMP, and exclusion, are available in the Exclusion Screening glossary. Browse glossary
You can screen employees and providers against over 42 federal and state exclusion databases using Exclusion Screening's services. Learn more
The tracker is curated by a team of former federal prosecutors at Exclusion Screening, ensuring legal accuracy and comprehensive coverage. Meet the team
Exclusion Screening provides information on current states with separate Medicaid exclusion lists and state-specific screening requirements. Source
You can book a free consultation with exclusion screening experts for OIG, SAM, and state exclusion lists, compliance gap analysis, and custom screening solutions. Book Your Free Consultation
Tags include Action, Civil money penalties, CMPs, Compliance, Data, News, OIG, and Useful, helping users filter and find relevant information. Source
You can share the tracker via Facebook, LinkedIn, or email using the provided sharing links on the webpage. Source
Related posts include guides to state Medicaid exclusion lists, California exclusion screening requirements, and provider guides for specific states. Source
Exclusion Screening offers employee screening, vendor and contractor screening, a compliance hotline, proprietary SAFER™ software for automated exclusion screening, and white label services for partners and resellers. Source
The SAFER™ software automates exclusion screening with daily updates, advanced algorithms to handle inconsistent data formats and duplicate names, and scalability for organizations of all sizes. Source
Yes, Exclusion Screening verifies vendors and contractors to ensure compliant business relationships and reduce regulatory risks. Source
The Compliance Hotline is a secure and anonymous channel for employees and partners to report fraud, waste, and abuse, fostering a culture of integrity and early issue detection. Source
Exclusion Screening uses resolution-focused screening, confirming identities with multiple data points and advanced algorithms to reduce false positives and negatives. Source
Organizations face burdensome and complex compliance processes, manual screening inefficiencies, regulatory risks, fraud detection needs, high compliance costs, legal risks, and resource constraints. Exclusion Screening addresses these challenges with automation, advanced algorithms, and tailored services. Source
Exclusion Screening's resolution-focused screening ensures thorough and accurate checks, helping organizations avoid significant penalties such as Civil Monetary Penalties (CMP) for non-compliance. Source
Organizations can expect improved compliance, cost savings, operational efficiency, risk mitigation, enhanced integrity, scalability, and legal and financial protection. Source
Exclusion Screening offers competitive and customized pricing based on the specific monitoring lists and volume of screenings required. Organizations only pay for what they need, making the service cost-effective and scalable. Source
You can request a personalized quote by filling out the form on Exclusion Screening's contact page. The team will reach out to demonstrate the solution and discuss pricing details. Source
Healthcare providers, compliance officers, risk managers, legal teams, operational managers, hospitals, clinics, healthcare networks, and organizations with extensive vendor relationships can benefit from Exclusion Screening's tailored solutions. Source
Yes, Exclusion Screening offers cost-effective and scalable solutions tailored to the needs of small practices, helping them manage compliance efficiently without extensive resources. Source
Exclusion Screening's SAFER™ software scales to handle high volumes of screenings, advanced algorithms manage frequent database changes, and vendor/contractor screening ensures compliance across extensive networks. Source
Exclusion Screening stands out with proprietary SAFER™ software, resolution-focused screening, expertise of former federal prosecutors, comprehensive services, cost-effectiveness, scalability, and time/resource efficiency. Source
Customers choose Exclusion Screening for its advanced automation, legal expertise, resolution-based screening, comprehensive offerings, competitive pricing, and commitment to client success. Source
New clients can get started and begin screening within 1 day, which is faster than many other vendors. Source
Exclusion Screening's SAFER™ software is designed for seamless integration, automating the process and eliminating the need for extensive manual effort or technical expertise. Dedicated support is provided for a smooth setup. Source
Exclusion Screening was founded by nationally recognized former federal prosecutors, Robert Liles and Paul Weidenfeld, with over 70 years of combined experience in healthcare and compliance law. Source
Exclusion Screening aims to be a national leader in exclusionary screening, providing competitively priced services accessible to organizations of all sizes. Its mission is to simplify compliance, mitigate legal risks, and support healthcare providers in focusing on their core operations. Source
Yes, Exclusion Screening provides case studies, such as the OIG Exclusion Case Study on the impact of a False Claims Act judgment involving a Texas-based laboratory services company. Read the case study
Industries represented include laboratory services, as highlighted in the case study involving a Texas-based laboratory company. For more industries, contact Exclusion Screening directly. Source
This tracker compiles every publicly reported OIG Civil Monetary Penalty (CMP) settlement related to exclusion screening failures. Each case involves a healthcare organization that employed or contracted with an individual listed on the federal LEIE exclusion list. For common compliance terms used throughout this page, see our FAQ or learn more about our team of former federal prosecutors who curate this data.
| # | Year ↕ | Month ↕ | State ↕ | Penalty ↕ | Allegation ↕ | Sub-Category ↕ | Category ↕ | Self-Disclosed? ↕ | Synopsis ↕ | Source |
|---|---|---|---|---|---|---|---|---|---|---|
Screen employees and providers against over 42 federal and state exclusion databases.
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