{"id":79835,"date":"2026-02-18T04:08:38","date_gmt":"2026-02-18T04:08:38","guid":{"rendered":"https:\/\/healthprovidersdb.com\/wp\/?p=79835"},"modified":"2026-03-22T20:30:20","modified_gmt":"2026-03-22T20:30:20","slug":"who-needs-to-be-screened","status":"publish","type":"post","link":"https:\/\/healthprovidersdb.com\/wp\/who-needs-to-be-screened\/","title":{"rendered":"Who should be screened for OIG Exclusions?"},"content":{"rendered":"\n

To avoid Civil Monetary Penalties<\/a>, healthcare organizations must screen new hires and regularly monitor current employees and vendors against OIG Exclusions<\/a>, SAM.gov<\/a>, and State Medicare Provider Termination Lists<\/a>. But who needs to be screened sometimes is not so clear.<\/p>\n\n\n\n\n\n\n\n

Healthcare Providers are responsible for ensuring compliance with the exclusion statutes for anyone who provides<\/span> items or services, directly or indirectly, in whole or in part, that are payable by federal healthcare programs, including Medicare, Medicaid, TRICARE, and the Children’s Health Insurance Program (CHIP).<\/p>\n\n\n\n

This is not limited to direct billers. Services identified by the OIG include transportation service providers, administrative services, medical equipment suppliers, billers and coders, and pharmacists.<\/p>\n\n\n\n

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. Additionally, the provider may face Civil Monetary Penalties<\/a> (CMP) if they fail to ensure that proper exclusion screening has been conducted.<\/p>\n\n\n\n

<\/span>Key Individuals and Entities to Screen<\/span><\/h2>\n\n\n\n