CMS open payments | OIG exclusion list | Monthly OIG screen

  Healthcare organizations must manage regulatory responsibilities while working with employees, contractors, physicians, vendors, and affiliated entities. Maintaining licenses and verifying qualifications are important, but organizations may also need to determine whether relevant individuals or entities appear on applicable exclusion lists or regulatory databases. Sanction Checks can help organizations identify records that may require further investigation. Similarly, OIG Screening helps healthcare organizations evaluate potential exclusion-related concerns as part of their compliance procedures. Although these activities can complement one another, they do not serve exactly the same purpose. Understanding their differences helps organizations develop screening policies that reflect their operational needs, risk assessments, and applicable legal obligations. What Are Sanction Checks in Healthcare? Sanction checks involve reviewing relevant records to identify whether an indivi...

  Healthcare compliance teams manage a wide range of responsibilities. They may oversee employee screening, contractor onboarding, physician credentialing, vendor due diligence, documentation, audits, and ongoing monitoring. One area that deserves consistent attention is exclusion and sanction screening. The Exclusions List OIG , commonly referring to the HHS-OIG List of Excluded Individuals/Entities (LEIE), is an important federal resource for healthcare organizations. OIG maintains the LEIE to identify individuals and entities currently excluded from participation in federally funded healthcare programs. Understanding how this list works—and how it fits into a larger compliance program—can help organizations create more effective screening processes. What Is the OIG Exclusion List? The LEIE is maintained by the U.S. Department of Health and Human Services Office of Inspector General. An exclusion means that an individual or entity has been barred from participation in federally f...