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Medicare Exclusion Screening

Batch OIG Exclusion List & Medicaid Exclusion Screening

Our Batch Exclusions Screening service allows Healthcare Organizations to upload a Provider List with NPI numbers and instantly screen against all Federal and State exclusion databases, including OIG Exclusions, SAM Debarments, FDA Debarments, and all available State Medicaid Termination Lists.

Designed for compliance teams, our Batch Exclusion Screening system simplifies monthly monitoring requirements.

  • Saves hours of manual exclusion checks
  • Screens across all Federal & State lists
  • Generates a downloadable compliance report

HealthProviders DB is an extensive database featuring over 9 million comprehensive Healthcare Provider Profiles updated daily!

How the Batch OIG & Medicaid Exclusion Screening Works

To use our Batch Exclusion Screening service, simply upload your list of healthcare providers in either an Excel or text file format. All you need to provide is the list of NPI numbers.

You will receive a thorough report that clearly outlines any existing and potential OIG Exclusions, SAM Debarments, or State Medicaid Terminations, ensuring you have the critical information needed to help protect you from potential Civil Monetary Penalties.

Batch Screening eliminates the time and expense of manual exclusion screening and helps your organization stay compliant.

No registration or user account required — We aim to make the process quick and easy so you can stay compliant without the stress.

Benefits & Why It Matters

Regular Medicare Exclusion Screening is a compliance requirement for many healthcare organizations. Batch screening helps you maintain federal program eligibility, reduce manual administrative work, and avoid costly Civil Monetary Penalties.

Screen against OIG Exclusions, SAM Debarments, and all State Medicaid Terminations Lists all at Once

Our Batch Medicare Exclusion Screening service checks providers against all major Federal & State exclusion databases, including:

Comprehensive OIG Exclusions, SAM Debarments, State Medicaid Terminations, Medicare Opt-out, and NPI Deactivation Report

The Batch Exclusions Report includes:

  • Full Name, First, Middle, and Last Names
  • Full Address, Address 1, Address 2, City, State, Zip
  • NPI Number and NPI Deactivated Date
  • License Numbers
  • Medicare Opt Out Afidaivit Start and End Dates
  • Exclusion Date, Reason, and Reinstatement Date
  • Exclusion Status of Clear, Exact, Possible, Reinstated, Deactivated, Opted-out
  • OIG, SAM, or State reporting Agency Details
  • Plus, links to the Exclusion Source Data and Verification Page.

Download Sample Report

Simple & Predictable Pricing

Just $25 / 100 Providers Screened

Frequently Asked Questions

Why is Medicare Exclusion Screening Essential?

Compliance: The Office of Inspector General (OIG) mandates screening to prevent fraud, abuse, and patient neglect.
Financial Risk: Hiring an excluded individual can result in substantial Civil Monetary Penalties (CMPs) and repayment obligations.
Requirement: all Medicare Advantage Plans, all State Medicaid Programs, and all Medicaid Managed Care Organizations are required.

Who Needs Medicare Exclusion Screening?

Healthcare Providers & Facilities: Hospitals, nursing homes, home health agencies, clinics, and physician practices.
Personnel: All employees (clinical and non-clinical), medical assistants, nurses, and administrative staff.
Contractors & Vendors: Third-party billers, coding services, ambulance services, and medical equipment suppliers.
Leadership & Support: Board members, managers, owners, and volunteers.

How Often Should Medicare Exclusion Screening be done?

According to the OIG’s Special Advisory Bulletin issued in May 2013, the OIG recommends that healthcare organizations check their employees and contractors against the LEIE monthly.

Monthly screening is mandatory in at least 14 States, while many others strongly recommend that providers screen employees and vendors against their State lists and the LEIE monthly.

Who Should be Screened for Medicare Exclusions?

Providers are responsible for ensuring compliance with the exclusion statutes for all employees, vendors, and contractors who 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; examples of services identified by the OIG include transportation service providers, administrative services, medical equipment suppliers, billers and coders, and pharmacists.

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.

Learn more about who needs to be screened for Medicare Exclusion.

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