What is an OIG Exclusion?
An OIG Exclusion is a final administrative action by the Office of the Inspector General (OIG) or any State Medicaid Program. Exclusions prohibit participation in any Federal or State Health Care Program. Exclusions are imposed because the individual or entity is found to pose unacceptable risks to patient safety and/or program fraud. As a result, Federal health care programs such as Medicare, Medicaid, and TRICARE will not pay for any service provided — either directly or indirectly — by an excluded person or entity.
Why Screen for OIG Exclusions?
Providers of the federal health care programs must ensure that their employees, contractors, and vendors are not excluded. The failure to do so can result in significant penalties.
By not screening your employees, vendors, and contractors for exclusions you are placing yourself at risk of hundreds of thousands of dollars in civil monetary penalties. The civil monetary penalties that the OIG has the authority to impose can be up to $21,562.80 for each item or service furnished by the excluded person or entity, as well as assessments of up to three times the amount claimed. In addition, providers may be liable for overpayments.
Even when a provider is unaware that a person was excluded at the time the claim was made, OIG has issued guidance advising that such inadvertent violations must be reported and repaid. Additionally, any claim that might involve an excluded person or entity could potentially have False Claims Act implications under the Affordable Care Act if it is not dealt with in a timely and proper manner.
What We DoWe offer providers an EASY and inexpensive solution to the complex problems associated with screening and verifying that none of your employees, contractors, and vendors have been excluded from participating as providers in any Federal or State healthcare programs. We are focused on meeting your specific needs. Currently, our proprietary software SAFERTM screens employees, vendors, and contractors through the Federal Databases: OIG and SAM; as well as through every state database.
Our OIG Exclusion Screening Services
Many organizations have different screening needs. At Exclusion Screening, LLC we are focused on meeting your specific needs. Currently, our proprietary software, SAFERTM screens employees, vendors, and contractors through the Federal Databases: OIG and SAM; as well as through every state database. When one of these databases is updated, our proprietary software immediately updates with the new exclusion information. This ensures, on a monthly basis, that your employees, contractors, and vendors are not excluded from participating in federal or state healthcare programs.
Our Commitment to YouExclusion Screening, LLC uses its own proprietary software called SAFERTM. This is the most advanced exclusion screening software on the market today. Using complex algorithms, that are constantly changing to be even more precise and efficient, SAFERTM updates daily to add new Federal and State exclusion database information. Currently, our search features are more comprehensive and efficient than those that are provided even by OIG and SAM. Our all-in-one service checks and verifies all your employees, contractors, and vendors for you. While we are currently the national leaders for exclusionary screening, we are also very competitively priced. We constantly work to make our services affordable no matter how small or large your organization is. We work tirelessly to make sure you are given the best deal possible and that we quickly and efficiently help you with your screening needs no matter what they may be. Our commitment to our clients is that we will always be:
- Easy to use
- Extremely cost-effective and competitively priced
- The most reliable software using comprehensive algorithms to ensure that your results are delivered fast and accurate.
We offer multiple solutions to help health care organizations accomplish their screening obligations and their compliance goals. Some of the solutions that Exclusion Screening, LLC offers are:
- Free Trial
We are so confident that Exclusion Screening’s services that we offer a free trial. After trying our services we are positive you will stay with us as a client. For a free trial click here and contact us!
- Software Only Plan
If you want a more cost-efficient way of screening but want to screen in-house, this plan is for you. With this plan you can access Exclusion Screening’s proprietary SAFERTM software and conduct all your searching needs on your own. You will be responsible for the verification of all potential hits. This plan also comes with management tools to help with your screening such as automated monthly reports.
- Premium Plan
The Premium Plan is our customer favorite and takes away every pain of screening your employees. You supply us with the names of your employees and we take it from there! We will screen every employee against over 40 databases and then through our complex verification process we check every single screen to ensure that your results are 100% accurate. With this plan you will receive monthly detailed reports and can relax knowing you are taken care of by the professionals at Exclusion Screening. With the Premium Plan we also offer a variety of other forms of screening, which can be seen in our Sanction Screening Page.
We also offer Compliance Hotline services for every and any type of organization. If you would like to learn more about our Healthcare Exclusion Screening Services, please email us at firstname.lastname@example.org or fill out the form below!