OIG Exclusion (LEIE).
Exclusions, Sanctions, and Disciplinary Actions
One excluded healthcare provider on your payroll triggers immediate federal penalties, payment suspensions, and potential program exclusions that can destroy healthcare organizations overnight. The Office of Inspector General's List of Excluded Individuals/Entities (LEIE) identifies providers banned from Medicare, Medicaid, and all federally funded healthcare programs for serious violations including fraud, patient abuse, and professional misconduct. CIChecked's OIG exclusion screening provides rapid LEIE verification that protects your organization from catastrophic compliance failures.
What OIG Exclusion Screening Actually Reveals
- Federal Program Exclusions: Providers banned from Medicare, Medicaid, and federally funded healthcare programs
- Serious Healthcare Violations: Medicare/Medicaid fraud convictions, patient abuse charges, and professional misconduct
- License Revocation Intelligence: Healthcare-related license suspensions and disciplinary actions that trigger federal exclusions (monthly database updates ensuring current status)
- Program-Related Criminal Activity: Healthcare fraud, patient neglect, and other crimes resulting in federal sanctions
Rapid Results for Critical Compliance: OIG exclusion screening delivers results within one business day, providing immediate compliance verification for urgent healthcare staffing and contracting decisions.
The Federal Exclusion Reality
Healthcare organizations cannot employ excluded individuals in any capacity that involves federal program participation. Violation triggers automatic civil monetary penalties, potential organizational exclusion from federal programs, and loss of ability to bill Medicare and Medicaid—effectively ending most healthcare operations.
OIG exclusions result from serious healthcare violations including Medicare/Medicaid fraud convictions, patient abuse or neglect charges, healthcare-related license revocations, controlled substance violations, and other program-related crimes. These aren't minor infractions—they're career-ending violations that create massive organizational liability.
Monthly Database Updates
The LEIE database receives monthly updates with new exclusions, requiring ongoing monitoring to maintain compliance. Static screening at hire isn't sufficient—continuous monitoring ensures immediate notification when providers become excluded during employment.
Reading OIG Exclusion Results: Any current OIG exclusion immediately disqualifies individuals from positions involving federal healthcare programs. Historical exclusions require verification of reinstatement status and compliance with specific reinstatement conditions before considering employment.
OIG exclusion screening should be combined with General Services Administration (GSA) exclusions and state Office of Medicaid Inspector General (OMIG) checks for complete healthcare sanctions coverage. Each database captures different exclusion types and jurisdictions.
Bottom Line: OIG exclusion screening protects healthcare organizations from devastating federal penalties by identifying providers banned from Medicare, Medicaid, and federally funded programs. Essential verification for maintaining federal program participation and organizational viability.
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