OIG Exclusions List Check Technology

OIG Exclusion Screening You Can Trust

Emptech’s OIG exclusion screening technology makes it easy for you to maintain compliance with Office of Inspector General (OIG) exclusion lists. We deliver reliable, automated OIG record identification to save you time and increase your efficiency. All this, at a fraction of other providers’ costs — and a major savings compared to doing it in-house.

The Emptech Advantage for OIG Exclusion Screening

  • Cost-effective path to compliance, with savings driven by economies of scale.
  • Save valuable time and money by automating a tedious, ongoing compliance task.
  • Avoid risk of fines and penalties.
  • Eliminate concerns over eligibility of new hires and contractors.
  • Eliminate risk of exposure from undetected current employees.
  • OIG exclusions database cross-checks performed daily, monthly, and at custom intervals.
  • Industry-leading customer service, with personal attention and accountability.
  • 24/7 full access to online reporting and analysis tools.
  • From a provider with decades of experience delivering compliance & savings solutions to employers of all sizes.

HHS OIG Exclusion Recommendations

The Office of Inspector General is tasked to enforce and protect the integrity of the Department of Health & Human Services (HHS) programs, as well as the health and welfare of program beneficiaries. OIG recommends that employers evaluate the OIG exclusions database at least every month for their own protection.

Staying Compliant with OIG Exclusion Lists

Employing or contracting excluded individuals and entities violates Medicare and Medicaid provider agreements. Under Federal law, no payment or claim filings under any federal health care program may be made for items or services furnished by an excluded individual or entity. Employers are responsible for due diligence and ensuring their own ongoing compliance.

Understanding OIG Exclusions

Common circumstances leading to placement in the OIG exclusions database:

  • Individuals and entities participating in federal health care programs where there’s been interference or obstruction of a criminal investigation, fraud, embezzlement, theft, fiduciary breach or misconduct.
  • Conviction of a criminal offense related to delivery of services under Medicare, or of a felony relating to the unlawful involvement of a controlled substance.
  • Submitting false or improper claims to Medicare or Medicaid.
  • When an individual or entity has been sanctioned by a federal or state health care program.