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OIG has the authority to exclude individuals and entities from Federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud.
The List of Excluded Individuals and Entities (OIG-LEIE) is a list of mandatory and permissive exclusion actions taken by the Office of Inspector General (OIG) which is updated monthly. The System for Award Management (GSA-SAM) includes debarments and sanctions.
The exclusion list is updated on a monthly basis, and if an individual or entity has been reinstated, they are removed from the list. Further, the OIG is authorized to impose exclusions under the authority of sections1128 and 1156 of the Social Security Act.
How to Get Off the OIG Exclusion List? Send a written request containing: Individual's or entity's full name (if excluded under a different name, also include that name)Fax or email the request to the OIG at (202) 691-2298 or sanction@oig.hhs.gov. If eligible, the OIG will send statement and authorization forms.
Compliance Resources The Office of Inspector General (OIG) for the U.S. Department of Health & Human Services has created the educational materials to assist in teaching physicians about the Federal laws designed to protect the Medicare and Medicaid programs and program beneficiaries from fraud, waste, and abuse.
OIG compliance programs provide oversight toward promoting ethical and lawful corporate conduct that focus on encouraging prevention, detection and resolution of occurrences of conduct that do not meet federal and state law, and a hospital or health system's business policies.
An individual or entity excluded under section 1128(b)(4) of the Act, whose period of exclusion is indefinite, may apply for reinstatement when they have regained the license referenced in the exclusion notice.
A Healthcare Sanctions Check searches the OIG Exclusion list and the System for Award Management (SAM) and will alert you if your candidate is sanctioned. In addition to indicating whether the individual is on the list, you'll also learn: The name of the source or board that took the disciplinary action.
What Is An OIG Background Check? An OIG background check searches the LEIE database to see whether a candidate is excluded from participating in federal and state healthcare programs.
The primary difference between the OIG LEIE and SAM.gov is that the LEIE only consists of exclusion actions taken by the HHS OIG while the SAM.gov exclusion database consists of debarment actions taken by various Federal agencies.