OIG Exclusion (LEIE) List Search.

Standard background checks typically focus on criminal history, employment verification, and education credentials. OIG exclusion checks are specifically designed for healthcare compliance and cast a much wider net. They identify healthcare-specific sanctions, exclusions, and disciplinary actions across federal and state databases. While both are important, OIG checks are mandatory for healthcare organizations and focus on violations that directly impact your ability to participate in federal healthcare programs.

While these terms often get used interchangeably in healthcare, they represent distinctly different levels of severity in the compliance world – and understanding the difference is crucial for your organization's wellbeing.

Healthcare sanctions are disciplinary actions taken when providers or entities cross the line with administrative rules, civil laws, or criminal statutes. Think of sanctions as serious red flags that appear on the OIG Sanctions list. These can stem from various infractions – patient abuse, controlled substance violations, fraudulent billing practices – and they typically come with penalties that vary based on the severity of the offense.

But exclusions? That's where things get really serious. An exclusion is essentially the healthcare equivalent of being blacklisted. When a provider receives an exclusion, they're completely barred from participating in federal healthcare programs. No Medicare reimbursements, no Medicaid payments – nothing. It's the regulatory equivalent of a complete shutdown.

When it comes to healthcare compliance, OIG exclusion screening isn't just another checkbox – it's a fundamental safeguard for your organization. This crucial process involves searching the List of Excluded Individuals and Entities (LEIE), maintained by the U.S. Department of Health and Human Services Office of the Inspector General. The stakes are extraordinarily high: employing anyone on this list puts your organization at risk of losing Medicare and Medicaid contracts and facing substantial financial penalties. Think of it as your first line of defense in maintaining program eligibility and protecting your organization's financial health.

Industry best practices demand monthly OIG exclusion screening for all employees and contractors. Why? The OIG database updates monthly, and new exclusions can appear at any time. Health Care Comply Plus™ makes this easy with automated monthly screening that ensures you never miss an update. Our system alerts you immediately if any of your screened individuals appear on new exclusion lists, allowing you to take swift action to maintain compliance.

This is where Health Care Comply Plus™ truly stands out. Healthcare organizations operating across state lines face complex compliance requirements, as each state maintains its own exclusion and sanction databases. Our system automatically screens against all relevant state-specific databases based on your operational footprint. You'll never need to worry about missing a state-specific exclusion or sanction, regardless of how many jurisdictions you operate in.

This is a critical question that many healthcare organizations get wrong. While the federal LEIE database is essential, it's just one piece of a complex compliance puzzle. Each state maintains its own exclusion lists and databases that must be checked for complete compliance coverage. This requirement creates a significant challenge for healthcare organizations, especially those operating across multiple states. Health Care Comply Plus™ addresses this challenge by automatically screening against all relevant federal and state databases, ensuring no exclusion slips through the cracks.

Health Care Comply Plus™ distinguishes itself through comprehensive database coverage, advanced technology, and superior service delivery. Unlike basic screening services that only check the federal LEIE database, our platform aggregates over 3,500 sanction sources. Our proprietary matching algorithms significantly reduce false positives, while our automated monthly rescreening ensures continuous compliance. This combination of technology and expertise delivers a screening solution that exceeds regulatory requirements while simplifying your compliance processes.