Federal Exclusion Screening | Accountable

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Federal Exclusion Screening

Federal law requires healthcare organizations to screen all employees, contractors, and vendors against the OIG's List of Excluded Individuals and Entities (LEIE) before hiring and on a monthly basis. Accountable automates this entire process — screening your entire workforce and vendor list against the federal exclusion database every month, so you never fall out of compliance. Included free for all subscribers.

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Federal Exclusion Screening

What is Federal Exclusion Screening?

The Office of Inspector General (OIG) maintains the List of Excluded Individuals and Entities (LEIE) — a database of individuals and organizations banned from participating in federal healthcare programs like Medicare and Medicaid. Hiring or contracting with an excluded individual can result in Civil Monetary Penalties (CMPs) of up to $100,000 per occurrence, plus liability for any claims submitted. Monthly screening is required by law, but doing it manually is tedious and error-prone.

  • Preview of Automated Monthly LEIE Screening

    Automated Monthly LEIE Screening

    Accountable screens your entire organization against the OIG exclusion list automatically — no manual lookups, no spreadsheets, no missed checks:

    • Automatic monthly screening of all employees, contractors, and vendors against the LEIE
    • Instant alerts if a match is found so you can take action immediately
    • Complete audit trail documenting every screening — who was checked, when, and the result
  • Preview of Screen Employees, Contractors & Vendors

    Screen Employees, Contractors & Vendors

    Exclusion screening isn't just for employees. Federal requirements extend to anyone involved in delivering or billing for healthcare services:

    • Screen your full workforce — W-2 employees, 1099 contractors, and temporary staff
    • Screen all third-party vendors and business associates who touch PHI or federal programs
    • Pre-hire screening to catch exclusions before onboarding
  • Preview of Avoid Costly Penalties

    Avoid Costly Penalties

    The financial and legal consequences of employing or contracting with an excluded individual are severe:

    • Civil Monetary Penalties up to $100,000 per occurrence for knowingly employing excluded individuals
    • Liability for all claims submitted during the period of employment
    • Potential exclusion of your own organization from federal healthcare programs

Included Free for All Accountable Subscribers

Federal Exclusion Screening is included at no additional cost with every Accountable subscription. We believe exclusion screening is too important — and too often overlooked — to charge extra for it.

  • Automated monthly screening against the OIG LEIE — no manual work required
  • Covers employees, contractors, and vendors in one unified dashboard
  • Complete documentation and audit trail for every screening cycle

Frequently Asked Questions

Can't find the answer you're looking for? Please reach out to our team.

What is the OIG List of Excluded Individuals and Entities (LEIE)?
The LEIE is a database maintained by the Office of Inspector General (OIG) that lists individuals and entities excluded from participating in federal healthcare programs such as Medicare and Medicaid. Exclusions can result from criminal convictions, civil monetary penalties, or other offenses related to healthcare fraud, patient abuse, or licensing violations.
Why is exclusion screening required?
Federal law (42 U.S.C. § 1320a-7 and 42 CFR § 1001) prohibits healthcare organizations from employing or contracting with excluded individuals for services reimbursed by federal healthcare programs. The OIG recommends monthly screening to ensure ongoing compliance, and many state Medicaid programs require it.
Who needs to be screened?
All individuals and entities that provide services, are involved in billing, or have access to federal healthcare program funds must be screened. This includes employees, contractors, temporary staff, volunteers with patient contact, board members, vendors, and business associates.
How often should exclusion screening be performed?
The OIG recommends monthly screening of all employees, contractors, and vendors. At minimum, screening should occur at the time of hiring or contracting and on a regular, ongoing basis. Accountable automates monthly screening so you never miss a check.
What happens if an excluded individual is found?
If a match is found, you'll receive an immediate alert so you can investigate and take appropriate action. This typically involves verifying the match, removing the individual from any role involving federal healthcare programs, and documenting your response. Accountable provides a clear audit trail for every step.
Does Accountable screen against state exclusion lists too?
Currently, Accountable screens against the federal OIG LEIE database. State-specific exclusion lists are not yet included but are on our roadmap. We recommend checking your state Medicaid program's requirements for any additional screening obligations.
Is Federal Exclusion Screening really free?
Yes. Federal Exclusion Screening is included at no additional cost with every Accountable subscription — Essential and Full Service. We believe this is a critical compliance requirement that every healthcare organization should have access to.
What kind of documentation does Accountable provide for audits?
Accountable maintains a complete audit trail for every screening cycle, including who was screened, when the screening occurred, the results, and any actions taken. This documentation is always accessible and exportable for internal audits or regulatory review.