Exclusion Screening, LLC, is a simple and inexpensive solution to the costly and complicated requirements relating to the screening of employees, contractors and vendors for exclusion, suspension and debarment related issues. Here’s a quick story of how it came to be:
We have been in health care for a long time – Robert in 1984 as a Hospital Administrator and Paul in 1996 with the passage of HIPAA – and we know first hand that most providers are committed to quality care and compliance with the rules. But what happens if a provider is confronted with rules or regulations that are difficult to understand, costly, and almost impossible to comply with (even without regard to the expense)?
This is exactly the question we encountered not very long ago when a client asked us what he had to do to meet his Exclusion Screening obligation and avoid OIG sanctions or penalties. How, we were asked, could he make sure none of his employees, contractors or vendors had not been excluded, suspended or barred from any Federal or State health care programs? Could he possibly meet that obligation without breaking the bank?
We really couldn’t come up with a good solution to this conundrum at the time. His legal obligations weren’t exactly clear or unsettled, the lists or databases he had to check had inconsistent formats and were often unsearchable, the technical expertise required to compare his client list to the exclusion lists went well beyond his IT department, and the costs in both dollars and employee hours to perform the searches and verifications were prohibitive.
The lack of any reasonable solution weighed on us and we simply couldn’t let it go. Was it possible, we kept asking, that such a fundamental obligation could be so difficult to comply with? Well, as you may have guessed, we never found a solution to the problem, so we went ahead and created one! As so let us welcome you to Exclusion Screening, LLC.
Robert and Paul
What Makes Us Different?
- All-in-one service that checks and verifies all your employees, contractors, and vendors for you
- Created our own database with a search feature that is more comprehensive than the OIG/SAM databases
- Our database updates daily and constantly adds new Federal and State exclusion database information
- We work with you to determine who needs to be checked
- Prepare Monthly Reports
- Additionally, several compliance checkpoints along the way to assure no one is missed and all databases are checked
- Founded by health care attorneys with a combined over 50 years of experience
Why You Need to Screen
We discuss the laws and regulations surrounding exclusion screening in depth in our blog posts, but to underscore the importance of screening, here are the basics:
The Office of Inspector General suggests monthly checks of Federal databases (LEIE & SAM), and the Centers for Medicare & Medicaid Services (CMS) require monthly checks of both Federal and state databases. In addition, provider agreements in some states require certification that no employee, contractor, or vendor is, or has ever been, excluded from any State or Federal database.
It is potentially too costly to overlook your screening and verification obligations. Since January 1, 2014 to date, OIG has fined providers over $12 million in exclusion-related violations.
We at Exclusion Screening, LLC know that exclusion screening and verification is a difficult process, especially the larger the practice. Furthermore, we understand that complying with all the Federal and State rules and regulations can be challenging. If you are ready to get started, click here to schedule an individualized assessment of your needs and costs.