Robert Liles

Why is it Important to Screen Against the GSA’s SAM Database?

(January 16, 2024):  The importance of screening employees, vendors and contractors against available federal and State exclusion databases cannot be…

Why is it Necessary to Screen Against the NPPES and its NPI Registry Database?

 We are sometimes asked, “Does Exclusion Screening perform NPI1 screening services?”  That’s a great question. The answer is “YES.” As discussed below,…

An Overview of the Medi-Cal Suspended and Ineligible Provider List

Most healthcare providers and suppliers in the State of California are aware that exclusions imposed by the Department of Health…

The Proposed Expansion of CMS’ Revocation Authority Makes Monthly Exclusion Screening of ALL Employees More Important than Ever!

The Centers for Medicare and Medicaid Services (CMS)[1] is the Federal agency tasked with the overall responsibility of managing the…

When an Underlying Misdemeanor or Felony Conviction is Expunged, Does That Extinguish an Exclusion Action?

Medicare and Medicaid providers / suppliers are prohibited from employing individuals who have been excluded from participation in Federal health…

North Carolina Exclusion Screening Requirements

To understand the North Carolina Exclusion Screening Requirements, we must first touch upon Exclusions in general. Office of Inspector General…

Comparison between OIG Exclusion List and CMS Preclusion List

Since the CMS Preclusion list was announced in April 2018, and then published in January 2019, there has been confusion…

What is the NPDB?

I. What is the NPDB The National Practitioner Data Bank (NPDB) was created as part of the Health Care Quality…

What is the Length of A Mandatory Exclusion?

The Department of Health and Human Services (HHS), Office of Inspector General (OIG) is responsible for overseeing the financial and…

Exclusion Actions Under 42 U.S.C. § 1320a-7(b)(5)(B) — The Collateral Consequences of a State Medicaid Enrollment Termination Action

Exclusion Actions Under 42 U.S.C. § 1320a-7(b)(5)(B)  (November 2020):  Since 1976, the Department of Health and Human Services (HHS), Office…