Founded by healthcare attorneys with 70 + years of Combined Experience
Developed by Health Care Professionals for Health Care Professionals
A provider-focused approach to exclusion screening. Supporting your Federal and State screening obligations in a simple, reliable and cost-effective way.
Comprehensive Exclusion Screening Solutions.
Our Services
Our services provide end-to-end exclusion screening to help you stay compliant with federal and state regulations. We offer tailored solutions to safeguard your organization, ensuring you avoid penalties and protect your reputation.
An extensive clientele.
our Customers
- Hospitals
- Medical Centers
- Physician Practices
- Dental Practices
- Laboratories
- PT/ OT/ ST Provider
- Behavioral Health Providers
- Health Care Supply Companies
- Medicaid Advantage Plans
- State and Country Health Departments
- DME Suppliers
- Health Care Consultants
- Law firms
- Billing and Staffing Companies
Our Founders
Paul Weidenfeld & Robert W. Liles
Exclusion Screening, LLC was established by healthcare attorneys Robert Liles and Paul Weidenfeld, both of whom are former DOJ National Health Care Fraud Coordinators. Drawing on their deep understanding of the challenges faced by providers and the critical importance of regulatory compliance, Robert and Paul set out to create a simple, cost-effective solution for fulfilling Federal and State exclusion screening requirements. Exclusion Screening, LLC achieves this by conducting monthly checks to verify the exclusion status of all employees, vendors, and contractors across all Federal and State exclusion lists.
FAQ
Frequently Asked Questions
Exclusion Screening FAQs
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.”
Company FAQs
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.
Articles and Resources
Featured Articles
Map of the States with a Separate Medicaid Exclusion List
Click on your state to view their Medicaid...
This article focuses on helping providers understand New York Medicaid exclusion screening law, and its exclusion screening requirements so that they can avoid the risks associated with employing or doing...
A Provider’s Guide to OIG Exclusions: Federal Exclusion Regulations and Enforcement Authorities, and How Providers Can Avoid Risk with Proper Exclusion Screening
This article is an updated version of...
This article focuses on helping providers understand New York Medicaid exclusion screening law, and its exclusion screening requirements so that they can avoid the risks associated with employing or doing...
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Recent Posts
This article focuses on helping providers understand New York Medicaid exclusion screening law, and its...
Alabama’s Medicaid Program will not pay for any item or service furnished by, or at the medical direction...
Map of the States with a Separate Medicaid Exclusion List
Click on your state to view their Medicaid...
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Testimonials.
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