Frequently Asked Questions

Pricing & Plans

What is Exclusion Screening's pricing model?

Exclusion Screening offers competitive and customized pricing based on the specific monitoring lists and the volume of screenings required by your organization. This tailored approach ensures you only pay for what you need, making the service cost-effective and scalable for organizations of all sizes. To receive a personalized quote, fill out the form on the contact page.

Are there any hidden fees in Exclusion Screening's pricing?

No, Exclusion Screening provides transparent pricing with no hidden fees. Pricing starts at /month, as stated on the pricing page.

How is the cost determined for Exclusion Screening's services?

The cost is determined by the specific lists you need monitored and the volume of screenings required. This ensures pricing is proportional to your risk and needs, not a one-size-fits-all model. For a detailed quote, contact Exclusion Screening directly.

Is Exclusion Screening affordable for small practices?

Yes, Exclusion Screening's pricing is designed to be affordable and scalable, making compliance accessible for small practices as well as large healthcare systems.

Features & Capabilities

What features does Exclusion Screening offer?

Exclusion Screening provides employee screening, vendor and contractor screening, a compliance hotline, and proprietary SAFER™ software. The SAFER™ software automates exclusion screening, offers daily updates, advanced algorithms to reduce false positives/negatives, and is scalable for organizations of all sizes. Learn more on the services page.

Does Exclusion Screening support daily updates for exclusion lists?

Yes, the SAFER™ software updates daily with new federal and state exclusion database information, ensuring your screenings are always based on the most current data.

What is resolution-focused screening?

Resolution-focused screening confirms identities using multiple data points and documented logic, reducing false positives and negatives. This approach ensures thorough and accurate compliance checks, minimizing compliance risks.

Which exclusion lists are included in Exclusion Screening's package?

Exclusion Screening screens against OIG-LEIE, GSA-SAM, all available state Medicaid exclusion lists, and the Social Security Administration Death Master File (SSADMF). This comprehensive coverage ensures compliance across all relevant databases.

Can Exclusion Screening be scaled for large healthcare systems?

Yes, Exclusion Screening's SAFER™ software is designed to scale efficiently, handling high volumes of screenings for large healthcare systems while remaining cost-effective for smaller practices.

Does Exclusion Screening offer a compliance hotline?

Yes, Exclusion Screening provides a secure and anonymous compliance hotline for employees and partners to report fraud, waste, and abuse, fostering a culture of integrity and early issue detection.

Does Exclusion Screening offer white label services?

Yes, Exclusion Screening offers white label services, allowing organizations to provide exclusion and sanction screening software under their own brand. Learn more on the White Label Services page.

Competition & Comparison

How does Exclusion Screening differ from other exclusion screening providers?

Exclusion Screening stands out with its proprietary SAFER™ software, resolution-focused screening, and expertise from nationally recognized former Federal prosecutors. The software automates compliance, offers daily updates, and advanced algorithms, while the company emphasizes thorough identity confirmation and legal risk mitigation. These features provide distinct advantages for both small practices and large healthcare systems.

Why choose Exclusion Screening over competitors?

Customers choose Exclusion Screening for its advanced automation, resolution-focused screening, legal expertise, comprehensive services, cost-effectiveness, and scalability. The company is committed to being a national leader in exclusionary screening while remaining competitively priced and accessible to organizations of all sizes. Learn more on the About Us page.

What unique expertise does Exclusion Screening bring to compliance?

Exclusion Screening was founded by nationally recognized former Federal prosecutors with over 70 years of combined experience in healthcare and compliance law. This legal expertise ensures solutions are reliable, efficient, and legally sound.

How does Exclusion Screening's approach to pain points differ from competitors?

Exclusion Screening addresses compliance pain points by automating processes, using advanced algorithms, offering resolution-focused screening, and providing vendor/contractor screening and a compliance hotline. These features collectively differentiate Exclusion Screening from competitors, making it a preferred choice for organizations seeking reliable, efficient, and legally sound exclusion screening solutions.

Use Cases & Benefits

Who can benefit from Exclusion Screening's services?

Healthcare providers, compliance officers, risk managers, legal teams, operational managers, and organizations with extensive vendor and contractor relationships benefit from Exclusion Screening's tailored solutions. The services are ideal for small practices, large healthcare systems, and organizations with high compliance risks.

Is Exclusion Screening suitable for organizations with extensive vendor networks?

Yes, Exclusion Screening offers vendor and contractor screening services to ensure compliant business relationships and reduce regulatory risks, making it ideal for organizations with extensive vendor networks.

What business impact can customers expect from using Exclusion Screening?

Customers can expect improved compliance, cost savings, operational efficiency, risk mitigation, enhanced integrity, scalability, and legal/financial protection. The automation and advanced algorithms streamline compliance, allowing organizations to focus on their core operations.

Are there any case studies demonstrating Exclusion Screening's effectiveness?

Yes, Exclusion Screening provides a case study focused on the laboratory services industry, detailing the impact of a False Claims Act judgment and the importance of thorough exclusion screening. Read the full case study here: OIG Exclusion Case Study: The Impact of a False Claims Act Judgment.

What industries are represented in Exclusion Screening's case studies?

The laboratory services industry is represented in Exclusion Screening's case studies. For more information on other industries, contact Exclusion Screening directly.

Technical Requirements

How long does it take to implement Exclusion Screening?

New clients can get started and begin screening within 1 day, which is faster than many other vendors. The SAFER™ software is designed for seamless integration and automation.

How easy is it to start using Exclusion Screening?

Exclusion Screening's SAFER™ software is designed for seamless integration, automating the exclusion screening process and eliminating the need for extensive manual effort or technical expertise. Dedicated support from compliance specialists ensures a smooth setup.

Can multiple users access Exclusion Screening?

Yes, Exclusion Screening recommends limiting access to three individuals but provides additional logins depending on your organization's size and needs.

How often are exclusion databases updated in Exclusion Screening?

OIG-LEIE updates monthly, while GSA-SAM and state exclusion lists vary. Exclusion Screening automatically updates its lists each month to ensure clients are screened against the most up-to-date databases.

Support & Implementation

Does Exclusion Screening provide support during implementation?

Yes, Exclusion Screening offers dedicated support from compliance specialists to ensure a smooth and hassle-free setup for new clients.

How can I contact Exclusion Screening for additional questions?

You can contact Exclusion Screening via email at support@exclusionscreening.com or through the contact page for personalized assistance.

Is there a demo available for Exclusion Screening's services?

Yes, you can schedule a free consultation or demo of Exclusion Screening's services, including exclusion screening and compliance hotline, via the demo page.

Product Information

What is Exclusion Screening?

Exclusion Screening specializes in simplifying compliance processes and mitigating legal risks for healthcare organizations. The company provides comprehensive exclusion screening and verification services to ensure compliance with federal and state regulations.

What is the primary purpose of Exclusion Screening's product?

The primary purpose is to simplify compliance processes, mitigate legal risks, and enable healthcare providers to focus on their core operations. This is achieved through tailored services and tools that automate exclusion screening and support regulatory compliance.

What core problems does Exclusion Screening solve?

Exclusion Screening solves the complexity of compliance, manual screening challenges, regulatory risks, fraud detection and reporting, cost-effectiveness, legal risks and penalties, and time/resource management. The SAFER™ software automates processes, reduces false positives/negatives, and ensures thorough checks.

What are the key capabilities and benefits of Exclusion Screening's product?

Key capabilities include daily updates, advanced algorithms, automation, scalability, resolution-focused screening, vendor/contractor screening, compliance hotline, cost-effectiveness, time/resource efficiency, legal/financial protection, and expertise from former Federal prosecutors.

What is Exclusion Screening's vision and mission?

Exclusion Screening's vision is to be a national leader in exclusionary screening, providing competitively priced services accessible to organizations of all sizes. The mission is to simplify compliance processes, mitigate legal risks, and support healthcare providers in focusing on their core operations.

What key information should customers know about Exclusion Screening's history and expertise?

Exclusion Screening was founded by former Federal prosecutors Robert Liles and Paul Weidenfeld, with over 70 years of combined experience in healthcare and compliance law. The company was created to address complex compliance challenges and is committed to providing reliable, efficient, and legally sound solutions.

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Founded by healthcare attorneys with 70 + years of Combined Experience

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We make exclusion screening simple, reliable, and guaranteed—trusted by practices and organizations nationwide.

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our responsibility

We meticulously handle all your Federal and State exclusion screening and verification, ensuring you complete compliance with zero effort on your part.

We emphasize resolution-focused screening. We confirm identity, using multiple data points and documented logic to determine whether a match is truly the same individual or entity—reducing false positives and false negatives.

We scale by compliance accuracy—not inefficiency. Designed with all organizations in mind, we frame cost as proportional to risk/need, not one-size-fits-all.

Exclusion Screening delivers compliance value without unnecessary cost by focusing resources where they matter most and eliminating avoidable expense.

End-to-End Compliance

Our Solutions

Support your organization with a comprehensive compliance program by addressing risk across all areas. Identify issues early, maintain oversight, and meet regulatory expectations with confidence.

Screen employees and candidates against exclusion lists to support regulatory compliance. We offer single searches and scalable options.

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Reduce regulatory risk and ensure compliant business relationships.

See Exclusion Screening for Vendors

A confidential reporting channel for employees and partners to report concerns.

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Comprehensive Coverage

The lists that matter

Our SAFER™ software screens against the OIG and SAM federal databases, as well as all applicable state exclusion databases, with synchronized updates to help ensure your lists remain compliant.

Frequently Asked Questions

What is an OIG Exclusion?

Exclusions are final administrative sanctions imposed by the Office of Inspector General for the Department of Health and Human Services (HHS/OIG, or simply OIG) that bar individuals and entities from participating in Federal and State health care programs such as Medicare, Medicaid, CHIPs, and any other program that receives federal funding.  Federal programs are prohibited from paying for items or services provided by excluded parties, and providers that employ or contract with them risk the imposition of civil money penalties and significant overpayments liability. In addition to the authority to impose exclusions, OIG is authorized to enforce compliance with exclusion regulations through civil money penalties and overpayments.

How Often Should Screening be done?

Providers should screen prior to employment or to the initiation of a business relationship and monthly thereafter. Monthly screening makes sense because a person’s exclusion status is always subject to change. It is required by all Medicare Advantage Plans, all State Medicaid Programs, and all Medicaid Managed Care Organizations. In addition, CMS and the OIG have equivocally expressed its support, and the OIG has linked a failure to screen with overpayment and CMP liability. 

Who Should be Screened? Who are Providers Required to Screen?

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

How often is Exclusion Screening’s exclusion database updated?

OIG-LEIE updates its list monthly, while GSA-SAM and state exclusion lists vary. We automatically update our lists each month to ensure that our clients’ employees and vendors are screened against the most up-to-date databases.

Which exclusion lists are included in Exclusion Screening’s package?

At Exclusion Screening, we think it is critical to screen employees and vendors against OIG-LEIE, GSA-SAM, and all of the state Medicaid exclusion lists available.

May I have multiple users?

Absolutely! Exclusion Screening recommends limiting your exclusion screening to three individuals, but, we provide additional logins depending upon your specific size and needs.

We welcome any questions

Have Additional Questions? Send us an email and we’ll answer it as soon as possible.

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How It Works

See our step-by-step screening process from enrollment to monthly reports.

Pricing

Transparent pricing starting at $30/month. No hidden fees.

FAQ

Answers to common questions about exclusion screening compliance.

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