Exclusion screening

What we screen against

• The OIG List of Excluded Individuals and Entities
• The System for Award Management exclusions list
• Every state Medicaid exclusion list where the group operates
• State board disciplinary actions across the licensing footprint

Why monthly

The OIG updates the exclusion list monthly and expects screening at the same interval. Claims submitted for items or services furnished by an excluded individual are not payable, and the exposure runs from the exclusion date rather than from the date the group noticed. Screening at hire and never again leaves the entire period in between unreviewed.

The evidence matters as much as the screen

We retain a dated record of each screen, the lists checked, and the result per clinician. An auditor asks what you did and when, not whether you intended to. A screening process with no retained output is treated as no screening at all.

Where it sits

Included in the Standard and Full lifecycle subscription tiers at no additional per-clinician fee.