Healthcare organizations must screen against the OIG SAM databases to ensure they do not work with individuals or entities excluded from federal healthcare programs like Medicare and Medicaid. The Office of Inspector General (OIG) maintains the List of Excluded Individuals/Entities (LEIE), updated monthly, while the System for Award Management (SAM) tracks exclusions from federal contracts, updated annually.

A recent audit by the U.S. Department of Health and Human Services Office of Inspector General (OIG) has raised serious concerns about how nursing homes are screening their employees

Healthcare organizations must screen against the OIG SAM databases to ensure they do not work with individuals or entities excluded from federal healthcare programs like Medicare and Medicaid. The Office of Inspector General (OIG) maintains the List of Excluded Individuals/Entities (LEIE), updated monthly, while the System for Award Management (SAM) tracks exclusions from federal contracts, updated annually.

Organizations engaged in credentialing and accreditation are facing strengthened requirements from NCQA concerning ongoing monitoring of licensures. This move emphasizes the heightened responsibility to track licensure status and related risks continuously. Ongoing Monitoring: Frequency and Sources NCQA now requires organizations...

In today’s rapidly evolving healthcare landscape, staying compliant with updated credentialing standards is more crucial than ever. The National Committee for Quality Assurance (NCQA) has introduced significant updates for 2025, focusing on enhancing the processes of licensure monitoring and compliance....

OMIG Exclusion: What It Is and How to Check New York’s Medicaid Exclusion List Healthcare compliance officers in New York face strict obligations when it comes to screening for excluded providers. One critical task is checking the OMIG exclusion list...

The healthcare compliance landscape is one of perpetual evolution, shaped by the ever-changing regulatory environment and enforcement practices. At the core of ensuring compliance within federal healthcare programs lies the pivotal role of the Department of Health and Human Services...

IntroductionUnder Sections 1128 and 1156 of the Social Security Act (the “Act”), the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services (“HHS”) has authority to exclude from participation in Federal health care programs and...

Healthcare businesses — hospitals, medical practices, health insurers, medical device manufacturers, and the like — live in a world of heavy regulation. That regulation comes from the Office of the Inspector General (OIG) of the U.S. Department of Health and...