Recognize Federal Health Care Prohibited Entities

Identify individuals that are excluded from participation in Federal health care programs, including Medicare and Medicaid. The HireRight OIG Excluded Parties Check searches the List of Excluded Individuals/Entities (LEIE) of the Department of Health and Human Services (DHHS) Office of the Inspector General (OIG).

The list of excluded individuals/entities produced by the Check is intended to help health care providers comply with regulations relating to Federal health care programs. It supports reimbursement claims by health care providers by allowing organizations to ensure compliance with regulations and helps to reduce potential risks and liabilities from excluded parties.

Key Benefits
  • Protect access to Federal health care programs
  • Verify claims of program eligibility
  • Help guard against penalties for improper claims

HireRight OIG Excluded Parties Check

Hospitals, nursing homes, hospices, group medical practices, and other health care providers risk non-payment of claims and Civil Monetary Penalties (CMPs) due to excluded parties. Therefore, HireRight OIG Excluded Parties Check can help an organization ensure compliance with OIG regulations and Federal health care program requirements to eliminate these risks and liabilities. Other benefits include:

  • Protect access to Federal health care programs – An organization can be excluded from Federal health care programs if it is determined it "knows or should know" a person was an excluded party.
  • Verify candidate claims of program eligibility – Confirm every candidate does not appear on the List of Excluded Individuals/Entities before allowing them to work for your health care organization.
  • Helps guard against penalties for improper claims – Avoid CMPs of up to $10,000 for each item or service furnished by an excluded party and submitted for Federal program reimbursement.

Key Features

Will return the following information:

  • Name
  • Date of birth
  • Medicaid specialty
  • Sanction date
  • Address
  • Unique Physician Identification Number (UPIN)
  • Sanction type
  • Registration date