{"id":70049,"date":"2025-11-01T00:14:21","date_gmt":"2025-11-01T00:14:21","guid":{"rendered":"https:\/\/healthprovidersdb.com\/wp\/?page_id=70049"},"modified":"2026-04-16T20:37:48","modified_gmt":"2026-04-16T20:37:48","slug":"oig-exclusion-screening","status":"publish","type":"page","link":"https:\/\/healthprovidersdb.com\/wp\/oig-exclusion-screening\/","title":{"rendered":"Exclusion Screening for Healthcare Compliance"},"content":{"rendered":"\n<div class=\"wp-block-columns section-border is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<h2 class=\"wp-block-heading logo-color2 Nunito\" id=\"h-save-time-amp-money-we-can-help-you-with-exclusions-screening\"><span class=\"ez-toc-section\" id=\"Save_Time_Money_we_can_help_you_with_Exclusions_Screening\"><\/span>Save Time &amp; Money, we can help you with Exclusions Screening<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list checkmark Ubuntu\">\n<li>Make your life easier and save hours on manual exclusion checks!<\/li>\n\n\n\n<li>Maintain <a href=\"https:\/\/healthprovidersdb.com\/wp\/medicaid-exclusion-screening-requirements\/\">compliance<\/a> with federally funded healthcare programs.<\/li>\n\n\n\n<li>Avoid <a href=\"https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-A\/part-402\">Civil Monetary Penalties<\/a>.<\/li>\n\n\n\n<li>Efficiently screen all your providers for <a href=\"https:\/\/healthprovidersdb.com\/wp\/oig-exclusion-list\/\">OIG Exclusions<\/a>, <a href=\"https:\/\/healthprovidersdb.com\/wp\/sam-exclusions-list\/\">SAM Exclusions<\/a>, and all <a href=\"https:\/\/healthprovidersdb.com\/wp\/state-exclusions-list\/\"><\/a><a href=\"https:\/\/healthprovidersdb.com\/wp\/healthcare-providers-complete-directory\/\">State Medicaid Exclusion lists<\/a> at once.<\/li>\n\n\n\n<li>Comprehensive and audit-ready <a href=\"#h-comprehensive-exclusions-medicare-opt-out-and-npi-deactivation-report\">Exclusions Report<\/a>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading logo-color2 Nunito\" id=\"h-non-compliance-can-be-severe\">Non-compliance can be severe!<\/h3>\n\n\n\n<ul class=\"wp-block-list x-symbol Ubuntu\">\n<li>Required repayment of claims.<\/li>\n\n\n\n<li>Costly <a href=\"https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-A\/part-402\">Civil Monetary Penalties<\/a>.<\/li>\n\n\n\n<li>Loss of access to federally funded healthcare programs.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio yt-rounded\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"OIG Exclusions, SAM, &amp; State Medicaid Exclusions Screening \u2014 Batch Exclusions Screening\" width=\"1040\" height=\"585\" data-src=\"https:\/\/www.youtube.com\/embed\/UW-jQFUnPpE?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" class=\"lazyload\" data-load-mode=\"1\"><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\">A short video on how to run Exclusions Screening<\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:30px\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<p class=\"has-text-align-center logo-color4 Nunito\" id=\"upload-provider-list\" style=\"font-size:32px\"><em><strong>Just $25 \/ 100 Providers Screened<\/strong><\/em><\/p>\n\n\n\n<p class=\"has-text-align-center has-small-font-size\">No registration or user account required<\/p>\n\n\n\n<center><object data=\"https:\/\/healthprovidersdb.com\/screen-providers#embeddedfull\" class=\"embedded-app\" style=\"height:920px;\"><\/object><\/center>\n<\/div>\n<\/div>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading has-text-align-left logo-color5 Ubuntu\" id=\"h-why-exclusions-screening-matters\"><span class=\"ez-toc-section\" id=\"Why_Exclusions_Screening_Matters\"><\/span>Why Exclusions Screening Matters<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<div class=\"wp-block-media-text has-media-on-the-right is-stacked-on-mobile is-vertically-aligned-center fade-edge\"><div class=\"wp-block-media-text__content\">\n<p>Monthly screening of new hires, existing employees, and contractors for <a href=\"https:\/\/healthprovidersdb.com\/wp\/oig-exclusion-list\/\">OIG Exclusions<\/a>, <a href=\"https:\/\/healthprovidersdb.com\/wp\/sam-exclusions-list\/\">SAM Exclusions<\/a>, and all <a href=\"https:\/\/healthprovidersdb.com\/wp\/state-exclusions-list\/\">State Medicaid Exclusion Lists<\/a> is a <a href=\"https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-C\/part-455\/subpart-E\/section-455.436\">compliance requirement<\/a> for many healthcare organizations.<\/p>\n\n\n\n<p>Providers&nbsp;<a href=\"https:\/\/oig.hhs.gov\/exclusions\/\" target=\"_blank\" rel=\"noreferrer noopener\">excluded<\/a>&nbsp;by the&nbsp;<a href=\"https:\/\/oig.hhs.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\">OIG<\/a>&nbsp;or terminated by a&nbsp;<a href=\"https:\/\/healthprovidersdb.com\/wp\/state-license-lookup\/\">State Medicaid Agency<\/a>&nbsp;cannot participate in federally funded healthcare programs. <\/p>\n\n\n\n<p>This includes Medicaid, TRICARE, and the Children\u2019s Health Insurance Program (CHIP). Additionally, the Centers for Medicare &amp; Medicaid Services (<a href=\"https:\/\/www.cms.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\">CMS<\/a>)&nbsp;can revoke billing privileges, prohibiting the provider&nbsp;from participating in Medicare.<\/p>\n\n\n\n<p>Providers are liable for overpayments made for any items or services provided by any excluded person for which the provider received reimbursement from federal healthcare programs. <\/p>\n\n\n\n<p>Additionally, the provider may face <a href=\"https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-A\/part-402\">Civil Monetary Penalties<\/a> (CMP) if they fail to ensure that proper exclusion screening has been conducted.<\/p>\n<\/div><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"2000\" height=\"1113\" data-src=\"https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2024\/12\/leie-2048x1140-1-2000x1113.jpg\" alt=\"OIG LEIE\" class=\"wp-image-7612 size-full lazyload\" data-srcset=\"https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2024\/12\/leie-2048x1140-1-2000x1113.jpg 2000w, https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2024\/12\/leie-2048x1140-1-300x167.jpg 300w, https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2024\/12\/leie-2048x1140-1-150x83.jpg 150w, https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2024\/12\/leie-2048x1140-1-768x428.jpg 768w, https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2024\/12\/leie-2048x1140-1-1536x855.jpg 1536w, https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2024\/12\/leie-2048x1140-1-190x107.jpg 190w, https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2024\/12\/leie-2048x1140-1.jpg 2048w\" data-sizes=\"(max-width: 2000px) 100vw, 2000px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 2000px; --smush-placeholder-aspect-ratio: 2000\/1113;\" \/><\/figure><\/div>\n\n\n\n<h2 class=\"wp-block-heading logo-color5 Ubuntu\" id=\"h-benefits-of-exclusions-screening\"><span class=\"ez-toc-section\" id=\"Benefits_of_Exclusions_Screening\"><\/span>Benefits of Exclusions Screening<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list checkmark Ubuntu\">\n<li class=\"checkmark\">Saves hours of manual exclusion checks.<\/li>\n\n\n\n<li>Costs less than manual screening.<\/li>\n\n\n\n<li>Maintain <a href=\"https:\/\/healthprovidersdb.com\/wp\/medicaid-exclusion-screening-requirements\/\">compliance<\/a> with federally funded healthcare programs.<\/li>\n\n\n\n<li>Audit-ready <a href=\"#exclusions-report\">Exclusions Report<\/a>.<\/li>\n\n\n\n<li>Prevent potential costly&nbsp;<a href=\"https:\/\/www.ecfr.gov\/current\/title-42\/chapter-IV\/subchapter-A\/part-402\">Civil Monetary Penalties<\/a>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-features\">Features<\/h3>\n\n\n\n<p class=\"checkmark\">Screen all your healthcare providers, employees, vendors, and contractors at once for:<\/p>\n\n\n\n<ul class=\"wp-block-list checkmark\">\n<li><a href=\"https:\/\/healthprovidersdb.com\/wp\/oig-exclusions-search\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>OIG Exclusions List of Excluded Individuals and Entities<\/strong><\/a> (LEIE)<\/li>\n\n\n\n<li><a href=\"https:\/\/healthprovidersdb.com\/wp\/state-exclusions-list\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>All State Medicaid Exclusions Lists<\/strong><\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/healthprovidersdb.com\/wp\/sam-exclusions-search\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>SAM Debarments<\/strong><\/a> (SAM.gov)<\/li>\n\n\n\n<li><a href=\"https:\/\/healthprovidersdb.com\/wp\/fda-debarment-list\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>FDA Debarments<\/strong><\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/healthprovidersdb.com\/wp\/clinical-investigators-disqualification-proceedings\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>FDA Clinical Investigator\u2014Disqualification Proceedings<\/strong><\/a><\/li>\n\n\n\n<li><strong><a href=\"https:\/\/data.cms.gov\/provider-characteristics\/medicare-provider-supplier-enrollment\/opt-out-affidavits\">CMS&nbsp;Medicare Opt-out&nbsp;Affidavits<\/a><\/strong><\/li>\n\n\n\n<li><a href=\"https:\/\/data.cms.gov\/provider-characteristics\/medicare-provider-supplier-enrollment\/revoked-medicare-providers-and-suppliers\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>CMS Revoked Medicare Providers<\/strong><\/a><\/li>\n\n\n\n<li><strong><a href=\"https:\/\/npiregistry.cms.hhs.gov\/\">NPI Deactivation List<\/a><\/strong><\/li>\n<\/ul>\n\n\n\n<p>Includes Primary Source Exclusion Verification Tools.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-left logo-color5 Ubuntu\" id=\"h-how-exclusions-screening-works\"><span class=\"ez-toc-section\" id=\"How_Exclusions_Screening_Works\"><\/span>How Exclusions Screening Works<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><strong>Step One: <\/strong><span style=\"box-sizing: border-box; margin: 0px; padding: 0px;\">To use our\u00a0<strong>Batch Exclusion Screening<\/strong>\u00a0service, upload your list of NPI numbers in either Excel or text forma<\/span>t.<\/p>\n\n\n\n<p><strong>Step Two: <\/strong>Provide your email to receive a link to the <a href=\"#exclusions-report\">Exclusions Report<\/a>, and then click <strong>Start<\/strong>.<\/p>\n\n\n\n<p><strong>Step Three:<\/strong> Click the download report link in the email to open the payment page. The price is based on the number of providers uploaded and screened.<\/p>\n\n\n\n<p>The Exclusions Report automatically downloads after payment.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"#upload-provider-list\">Start Screening Now!<\/a><\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-left logo-color5 Ubuntu\" id=\"h-audit-ready-exclusions-report\"><span class=\"ez-toc-section\" id=\"Audit-ready_Exclusions_Report\"><\/span>Audit-ready Exclusions Report<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>The report includes complete details about the provider and the reasons for the exclusions. Along with links to the primary source of the exclusion for verification on the federal or state agency website.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-comprehensive-exclusions-report\">Comprehensive Exclusions Report<\/h3>\n\n\n\n<ul class=\"wp-block-list checkmark\">\n<li>Full Name, First, Middle, and Last Names.<\/li>\n\n\n\n<li>Full Address, Address 1, Address 2, City, State, and Zip.<\/li>\n\n\n\n<li>NPI Number and NPI Deactivated Date.<\/li>\n\n\n\n<li>License Numbers, Active Status, and Expiration Date.<\/li>\n\n\n\n<li>Medicare Opt Out Affidavit Start and End Dates.<\/li>\n\n\n\n<li>Exclusion Date, Reason, and Reinstatement Date.<\/li>\n\n\n\n<li>Exclusion Status of Clear, Exact, Possible, Reinstated, Deactivated, Opted-out.<\/li>\n\n\n\n<li>OIG, SAM, or State reporting Agency Details.<\/li>\n\n\n\n<li>Plus, links to the Exclusion Source Data and Verification Page.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image alignwide size-full is-style-default\"><img decoding=\"async\" width=\"2560\" height=\"575\" data-src=\"https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2026\/02\/Sample-Exclusions-Report-2-scaled.png\" alt=\"\" class=\"wp-image-81150 lazyload\" data-srcset=\"https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2026\/02\/Sample-Exclusions-Report-2-scaled.png 2560w, https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2026\/02\/Sample-Exclusions-Report-2-300x67.png 300w, https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2026\/02\/Sample-Exclusions-Report-2-2000x449.png 2000w, https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2026\/02\/Sample-Exclusions-Report-2-150x34.png 150w, https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2026\/02\/Sample-Exclusions-Report-2-768x173.png 768w, https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2026\/02\/Sample-Exclusions-Report-2-1536x345.png 1536w, https:\/\/healthprovidersdb.com\/wp\/wp-content\/uploads\/2026\/02\/Sample-Exclusions-Report-2-2048x460.png 2048w\" data-sizes=\"(max-width: 2560px) 100vw, 2560px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 2560px; --smush-placeholder-aspect-ratio: 2560\/575;\" \/><figcaption class=\"wp-element-caption\">Sample Batch Exclusions Report<\/figcaption><\/figure>\n\n\n\n<p class=\"has-text-align-center has-normal-font-size\"><a href=\"https:\/\/healthprovidersdb.com\/api\/View\/Action\/CRM.MatchList.Report?sample=report\">Download Sample Report<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading logo-color5 Ubuntu\" id=\"h-frequently-asked-questions\"><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1771522228844\"><strong class=\"schema-faq-question\">Why is Exclusion Screening Essential?<\/strong> <p class=\"schema-faq-answer\"><strong>Requirement<\/strong><br>Federal database checks\u2014<a href=\"https:\/\/www.ecfr.gov\/current\/title-42\/section-455.436\">42 CFR Part \u00a7 455.436<\/a> requires all Medicare Advantage Plans, all State Medicaid Programs, and all Medicaid Managed Care Organizations to confirm through routine Federal database checks the exclusion status of providers.<br><br><strong>Compliance<\/strong><br>The\u00a0Office of Inspector General (<a href=\"https:\/\/oig.hhs.gov\/compliance\/\">OIG<\/a>)\u00a0mandates screening to prevent fraud, abuse, and patient neglect.<br><br><strong>Financial Risk<\/strong><br>Hiring an excluded individual can result in substantial\u00a0Civil Monetary Penalties (<a href=\"https:\/\/oig.hhs.gov\/fraud\/enforcement\/civil-monetary-penalty-authorities\/\">CMPs<\/a>)\u00a0and repayment obligations.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1771522445553\"><strong class=\"schema-faq-question\">How often should Exclusion Screening be done?<\/strong> <p class=\"schema-faq-answer\">According to the\u00a0OIG&#8217;s\u00a0<a href=\"http:\/\/www.precheck.com\/blog\/oig-special-advisory-bulletin-2013-guide?__hstc=254715735.8d64c5425a86fa98edf2b60af389a70a.1733006182111.1733006182111.1733006182111.1&amp;__hssc=254715735.5.1733006182112&amp;__hsfp=2783994400\" target=\"_blank\" rel=\"noreferrer noopener\">Special Advisory Bulletin<\/a>\u00a0issued in May 2013, the OIG recommends that healthcare organizations check their employees and\u00a0<a href=\"https:\/\/healthprovidersdb.com\/wp\/contractors\/\">contractors<\/a>\u00a0against the\u00a0<a href=\"https:\/\/oig.hhs.gov\/exclusions\/\">LEIE<\/a>\u00a0monthly.<br><br><a href=\"https:\/\/www.ecfr.gov\/current\/title-42\/section-455.436\">42 CFR Part \u00a7 455.436(c)(2)<\/a> Federal database checks states to &#8220;check the LEIE and SAM no less frequently than monthly.&#8221;<br><br>Monthly screening\u00a0is\u00a0mandatory in at least 14 States, while many others strongly recommend that providers screen employees and vendors against their State lists and the LEIE monthly.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1771522299827\"><strong class=\"schema-faq-question\">Who should be screened for Exclusions?<\/strong> <p class=\"schema-faq-answer\">Healthcare organizations must conduct exclusion screening for all individuals and entities that provide items or services payable by federal health care programs. <br><br>This requirement applies to anyone whose work supports services reimbursed by Medicare or Medicaid\u2014whether those services are provided directly or indirectly.<br><br><strong>Healthcare Providers &amp; Facilities<\/strong><br>Hospitals, nursing homes, home health agencies, clinics, and physician practices.<br><br><strong>Personnel<\/strong><br>All employees (clinical and non-clinical), pharmacists, pharmacy staff, physicians, nurses, clinical staff, medical assistants, and administrative staff.<br><br><strong>Contractors &amp; Vendors<\/strong><br>Third-party billing &amp; coding services, transportation providers, ambulance services, and medical equipment suppliers.<br><br><strong>Leadership &amp; Support<\/strong><br>Board members, managers, owners, and volunteers.<br><br>Basically, if an individual&#8217;s role contributes in any way to federally reimbursable services, that individual should be included in your OIG exclusion screening and Medicare exclusion monitoring process.<br><br>Furthermore, the OIG has emphasized that civil monetary penalties are most likely when excluded individuals provide essential services to patient care. <br><br><a href=\"https:\/\/healthprovidersdb.com\/wp\/who-needs-to-be-screened\/\">Learn more<\/a> about who needs to be screened for Medicare Exclusion.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1774292340382\"><strong class=\"schema-faq-question\">How to automatically screen providers monthly?<\/strong> <p class=\"schema-faq-answer\"><em>Health<strong>Providers DB<\/strong><\/em> offers automated, continuous\u00a0exclusion monitoring <a href=\"https:\/\/healthprovidersdb.com\/wp\/oig-exclusion-monitoring\/\">subscriptions<\/a>.<br><br><strong>Features Include:<br><\/strong>\u2713 Manage your list of all healthcare providers, employees, vendors, and\u00a0contractors\u00a0that are continually being monitored.<br>\u2713 Monthly\u00a0<a href=\"https:\/\/oig.hhs.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\">OIG Exclusions<\/a>,\u00a0<a href=\"https:\/\/sam.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\">SAM Exclusions<\/a>, &amp; all\u00a0<a href=\"https:\/\/healthprovidersdb.com\/wp\/state-license-lookup\/\">State Medicaid Exclusions Lists<\/a>\u00a0updates.<br>\u2713 Comprehensive and audit-ready\u00a0<a href=\"https:\/\/healthprovidersdb.com\/wp\/oig-exclusion-monitoring\/#h-comprehensive-exclusions-medicare-opt-out-and-npi-deactivation-report\">Exclusions Report<\/a>.<br>\u2713 Automatic Exclusions Change Notifications.<br>\u2713 Detailed Exclusions Dashboard with total Providers, Exclusions, Verifications, Reinstatements, Medicare Out-of, and NPI deactivations.<br>\u2713 Primary Source Exclusion Verification Tools.<br>\u2713 The ability to Save Notes &amp; Documented Evidence of Exclusion Screening.<\/p> <\/div> <\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Save Time &amp; Money, we can help you with Exclusions Screening Non-compliance<span class=\"more-button\"><a href=\"https:\/\/healthprovidersdb.com\/wp\/oig-exclusion-screening\/\" class=\"more-link\">Learn more<span class=\"screen-reader-text\">Exclusion Screening for Healthcare Compliance<\/span><\/a><\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/full-width-page.php","meta":{"footnotes":""},"class_list":["post-70049","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\r\n<title>OIG Exclusion Screening Services for Healthcare Compliance<\/title>\r\n<meta name=\"description\" content=\"Quickly screen against OIG, SAM, and all State Medicaid Exclusion Lists \u2014 Free Lookup Tools \u2014 Comprehensive Exclusions Report\" \/>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/healthprovidersdb.com\/wp\/oig-exclusion-screening\/\" \/>\r\n<meta property=\"og:locale\" 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be done?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"According to the\u00a0OIG's\u00a0<a href=\"http:\/\/www.precheck.com\/blog\/oig-special-advisory-bulletin-2013-guide?__hstc=254715735.8d64c5425a86fa98edf2b60af389a70a.1733006182111.1733006182111.1733006182111.1&amp;__hssc=254715735.5.1733006182112&amp;__hsfp=2783994400\" target=\"_blank\" rel=\"noreferrer noopener\">Special Advisory Bulletin<\/a>\u00a0issued in May 2013, the OIG recommends that healthcare organizations check their employees and\u00a0<a href=\"https:\/\/healthprovidersdb.com\/wp\/contractors\/\">contractors<\/a>\u00a0against the\u00a0<a href=\"https:\/\/oig.hhs.gov\/exclusions\/\">LEIE<\/a>\u00a0monthly.<br><br><a href=\"https:\/\/www.ecfr.gov\/current\/title-42\/section-455.436\">42 CFR Part \u00a7 455.436(c)(2)<\/a> Federal database checks states to \"check the LEIE and SAM no less frequently than monthly.\"<br><br>Monthly screening\u00a0is\u00a0mandatory in at least 14 States, while many others strongly recommend that providers screen employees and vendors against their State lists and the LEIE monthly.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/healthprovidersdb.com\/wp\/oig-exclusion-screening\/#faq-question-1771522299827","position":3,"url":"https:\/\/healthprovidersdb.com\/wp\/oig-exclusion-screening\/#faq-question-1771522299827","name":"Who should be screened for Exclusions?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Healthcare organizations must conduct exclusion screening for all individuals and entities that provide items or services payable by federal health care programs. <br><br>This requirement applies to anyone whose work supports services reimbursed by Medicare or Medicaid\u2014whether those services are provided directly or indirectly.<br><br><strong>Healthcare Providers &amp; Facilities<\/strong><br>Hospitals, nursing homes, home health agencies, clinics, and physician practices.<br><br><strong>Personnel<\/strong><br>All employees (clinical and non-clinical), pharmacists, pharmacy staff, physicians, nurses, clinical staff, medical assistants, and administrative staff.<br><br><strong>Contractors &amp; Vendors<\/strong><br>Third-party billing &amp; coding services, transportation providers, ambulance services, and medical equipment suppliers.<br><br><strong>Leadership &amp; Support<\/strong><br>Board members, managers, owners, and volunteers.<br><br>Basically, if an individual's role contributes in any way to federally reimbursable services, that individual should be included in your OIG exclusion screening and Medicare exclusion monitoring process.<br><br>Furthermore, the OIG has emphasized that civil monetary penalties are most likely when excluded individuals provide essential services to patient care. <br><br><a href=\"https:\/\/healthprovidersdb.com\/wp\/who-needs-to-be-screened\/\">Learn more<\/a> about who needs to be screened for Medicare Exclusion.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/healthprovidersdb.com\/wp\/oig-exclusion-screening\/#faq-question-1774292340382","position":4,"url":"https:\/\/healthprovidersdb.com\/wp\/oig-exclusion-screening\/#faq-question-1774292340382","name":"How to automatically screen providers monthly?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"<em>Health<strong>Providers DB<\/strong><\/em> offers automated, continuous\u00a0exclusion monitoring <a href=\"https:\/\/healthprovidersdb.com\/wp\/oig-exclusion-monitoring\/\">subscriptions<\/a>.<br><br><strong>Features Include:<br><\/strong>\u2713 Manage your list of all healthcare providers, employees, vendors, and\u00a0contractors\u00a0that are continually being monitored.<br>\u2713 Monthly\u00a0<a href=\"https:\/\/oig.hhs.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\">OIG Exclusions<\/a>,\u00a0<a href=\"https:\/\/sam.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\">SAM Exclusions<\/a>, &amp; all\u00a0<a href=\"https:\/\/healthprovidersdb.com\/wp\/state-license-lookup\/\">State Medicaid Exclusions Lists<\/a>\u00a0updates.<br>\u2713 Comprehensive and audit-ready\u00a0<a href=\"https:\/\/healthprovidersdb.com\/wp\/oig-exclusion-monitoring\/#h-comprehensive-exclusions-medicare-opt-out-and-npi-deactivation-report\">Exclusions Report<\/a>.<br>\u2713 Automatic Exclusions Change Notifications.<br>\u2713 Detailed Exclusions Dashboard with total Providers, Exclusions, Verifications, Reinstatements, Medicare Out-of, and NPI deactivations.<br>\u2713 Primary Source Exclusion Verification Tools.<br>\u2713 The ability to Save Notes &amp; Documented Evidence of Exclusion Screening.","inLanguage":"en-US"},"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/healthprovidersdb.com\/wp\/wp-json\/wp\/v2\/pages\/70049","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthprovidersdb.com\/wp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/healthprovidersdb.com\/wp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/healthprovidersdb.com\/wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healthprovidersdb.com\/wp\/wp-json\/wp\/v2\/comments?post=70049"}],"version-history":[{"count":0,"href":"https:\/\/healthprovidersdb.com\/wp\/wp-json\/wp\/v2\/pages\/70049\/revisions"}],"wp:attachment":[{"href":"https:\/\/healthprovidersdb.com\/wp\/wp-json\/wp\/v2\/media?parent=70049"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}