OIG Exclusion Checks: LEIE, SAM, GSA, EPLS, OFAC, FDA, NPPES, Medicare Opt Out and Death Master File 2020-07-27T11:26:34+00:00

Automated monthly OIG Exclusion Checks Medicare Medicaid.
LEIE, SAM, GSA, EPLS, OFAC, FDA, Medicare Opt Out, NPPES, SSA Death Master File and all available state lists.

Check & Protect

SureCheckUSA OIG Exclusion Checks. The Health and Human Services Office of Inspector General’s (OIG) mission is to detect and root out fraud in Federal health care programs, including Medicare and Medicaid. Fraud diverts scarce resources meant to pay for the care of patients and other beneficiaries.

OIG’s efforts to curb fraud include:

  • Conducting criminal, civil, and administrative investigations of fraud and misconduct related to HHS programs, operations, and beneficiaries.
  • Using state-of-the-art tools and technology in investigations and audits around the country.
  • Imposing program exclusions and civil monetary penalties on health care providers because of criminal conduct such as fraud or other wrong doing;
  • Negotiating global settlements in cases arising under the civil False Claims Act, developing and monitoring corporate integrity agreements, and developing compliance program guidance.

The number of investigations, convictions and fines collected by OIG along with state and federal law enforcement has steadily continued to rise each year. Healthcare compliance departments can be overwhelmed with performing monthly searches of all federal and state exclusion and sanction lists for employees, contract workers and vendors. Improperly billing Medicare or Medicaid for services provided in part or whole by individuals or vendors currently excluded may result in significant fines.

Below are just a few of the recent fines imposed on healthcare providers for filing such claims:

  • December 2019 – a Maryland dentist is fined $94,000.
  • November 2019 – a Texas endoscopy center is fined $121,000.
  • October 2019 – an Indiana nursing facility is fined $51,000.
  • September 2019 – a Texas physician is fined $53,000.
  • June 2019 – an Illinois hospital is fined $125,000.
  • May 2019 – a Tennessee hospital is fined $102,000.

SureCheckUSA’s service provides secure automated monthly checks of federal and state exclusion and sanction data sources. These include LEIE, SAM, OFAC, FDA, Medicare Opt Out, SSA Death Master File and available state exclusion lists. The SureCheckUSA service is an inexpensive way for healthcare facilities to exercise due diligence in searching exclusion and sanction lists on a monthly basis. Improper billing for services related to an excluded individual or entity is easily avoided with SureCheckUSA’s monthly OIG sanction exclusion check service. Additionally, our experienced staff perform all necessary resolutions of search results freeing up your staff’s valuable time.

Call us today at 217-321-2470 or send an email to infosc@surecheckusa.com!

Sanction Check
Exclusion Screening
  • Automated monthly OIG Exclusion Checks.

  • Employees, vendors and contract personnel.

  • Bi-monthly automated email notifications of compliance status.

  • Resolution of search results is included!

  • Documentation of resolution findings are attached to a flagged entity’s record for compliance review or audit.

  • All PII data is stored in an encrypted SQL database utilizing Microsoft’s Azure cloud service.

  • Web application traffic is securely encrypted (SHA256 with RSA encryption).

HIPAA One® Certified Seal

OIG Exclusion Checks

Monthly OIG Exclusion Checks

Automated monthly Medicare and Medicaid sanction exclusion checks of employees, vendors and contract personnel.

Secure Communications Portal

SSL Encrypted Portal

SSL encrypted web portal allows easy access to exclusion screening results, reports and invoices. Personally Identifiable Information (PII) and Sensitive Personal Information (SPI) is stored in an encrypted Azure SQL database.

Guaranteed Monthly Exclusion Screening

Guaranteed Monthly Sanction Checks

Comprehensive OIG exclusion screening is completed on a monthly basis to ensure your business remains compliant. We include all federal and state sanction exclusion lists as well as the limited access death master file and Medicare Opt out List. LEIE, SAM, OFAC, SDN, Death Master, Medicare Opt Out.

Notification & Verification of Exclusion Screening Results

Notification & Verification of Exclusion Screening Results

Bi-monthly automated email notifications of compliance status. Summary and detailed reports on demand with Excel and PDF downloads. These reports may be required during OIG exclusion check audits.

“OIG has the authority to exclude individuals and entities from federally funded health care programs. The effect of an exclusion is that no payment will be made by any Federal health care program for any items or services furnished, ordered or prescribed by an excluded individual or entity.”

Office of Inspector General, HHS OIG

Over

0

in OIG fines since 2010

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Results

  • Automated bi-monthly compliance status notifications – Immediate notification of positive match.

  • Monthly results and reports – Unlimited access to all current and archived results and reports.

  • Resolutions – Of all search results for individuals and vendors.

  • Compliant – HHS Inspector General recommends monthly federal and state exclusion screening for all organizations receiving federal healthcare dollars.

Investment

  • All-inclusive – No setup fees or hidden monthly fees. Resolutions of search results are included. Monthly invoices are based on volume of requested checks.

  • Tiered pricing to accommodate any size healthcare facility.

  • Custom pricing for large healthcare facilities or associations.

  • Free up valuable staff resources.

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