California OIG/SAM Search Compliance Programs

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Multi-State
Control #:
US-0508BG
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Description

The Office of Inspector General (OIG) has developed a series of voluntary compliance program guidance documents directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers, to encourage the development and use of internal controls to monitor adherence to applicable statutes, regulations, and program requirements.

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FAQ

An OIG Exclusion is a final administrative action by the Office of the Inspector General (OIG) that prohibits participation in any Federal Health Care Program. Exclusions are imposed because the individual or entity is found to pose unacceptable risks to patient safety and/or program fraud.

The effect of an OIG exclusion, and appearance on the General Services Administration's System for Award Management (SAM) website as a result of such exclusion, is that no payment will be made by any Federal health care program for items or services furnished, ordered, or prescribed by the excluded individual in any

Mandatory exclusions: OIG is required by law to exclude from participation in all Federal health care programs individuals and entities convicted of the following types of criminal offenses: Medicare or Medicaid fraud, as well as any other offenses related to the delivery of items or services under Medicare, Medicaid,

An exclusion screening solution ensures screening of all employees, vendors, and subcontractors against the OIG exclusion list and SAM exclusion list prior to hiring or contracting, followed by regular screenings afterward.

What is an OIG Search? An OIG Search identifies individuals or entities that have been excluded from participation in Medicare, Medicaid or other federal healthcare programs. When/if an individual or an entity is restored back to the program and the exclusion is lifted, they will be removed from the list.

In simplest terms, a government exclusion list is a roster of individuals and organizations that are not eligible to participate in federal or state contracts due to criminal behavior or misconduct. These lists are maintained by state or federal agencies and updated regularly.

An exclusion screening solution ensures screening of all employees, vendors, and subcontractors against the OIG exclusion list and SAM exclusion list prior to hiring or contracting, followed by regular screenings afterward.

The System for Award Management (SAM) is a US government portal for businesses, organizations, and federal agencies to win government contracts. However, its lists of excluded individuals and entities can also help healthcare employers with hiring decisions.

The primary difference between the OIG LEIE and SAM.gov is that the former only consists of exclusion actions taken by the HHS OIG, and the latter consists of debarment actions taken by various Federal agencies.

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California OIG/SAM Search Compliance Programs