Exclusion Screening

Exclusion Screening A simple and inexpensive solution to the costly and complicated requirements relating to screening employees, contractors and vendors for exclusion.

Every provider that provides items or services that are reimbursed, in whole or in part, by a federal healthcare program...
05/06/2025

Every provider that provides items or services that are reimbursed, in whole or in part, by a federal healthcare program is required to ensure the exclusion status of their employees, vendors, and contractors –

and the only way to fulfill that obligation is to affirmatively check, or “screen,” the Office of Inspector General’s List of Excluded Individuals/Entities (the LEIE).

Federal health care programs are defined broadly so that they include Medicare, Medicaid, CHIPs, TRICARE, and any other programs that receives any federal funding.

Many exclusion screening providers stop at potentially excluded individuals while charging a high price. We verify every...
04/08/2025

Many exclusion screening providers stop at potentially excluded individuals while charging a high price.
We verify every result so you can move forward with confidence.

💬 Let’s talk about how we can help. Give us a call at +1(800) 294 - 0952.

The Office of Inspector General’s “List of Excluded Individuals and Entities” (LEIE), the General Service Administration...
03/19/2025

The Office of Inspector General’s “List of Excluded Individuals and Entities” (LEIE), the General Service Administration’s Suspension and Debarment List (GSA/SAM), and State Exclusion Lists are the sanction lists have the greatest impact on healthcare providers.

After it self-disclosed conduct to OIG, a healthcare service in California, agreed to pay $201,198.03 for allegedly viol...
03/19/2025

After it self-disclosed conduct to OIG, a healthcare service in California, agreed to pay $201,198.03 for allegedly violating the Civil Monetary Penalties Law.

OIG alleged that they employed an individual that it knew or should have known was excluded from participation in Federal health care programs

After it self-disclosed conduct to OIG, an assisted living facility in Minnesota agreed to pay $247,607.44 for allegedly...
03/18/2025

After it self-disclosed conduct to OIG, an assisted living facility in Minnesota agreed to pay $247,607.44 for allegedly violating the Civil Monetary Penalties Law.

OIG alleged that they employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

The Social Security Administration (SSA) master files contain, among other things, a registry of all Social Security ben...
03/10/2025

The Social Security Administration (SSA) master files contain, among other things, a registry of all Social Security beneficiaries (along with their assigned Social Security Numbers) issued by the government since 1936.

The Death Master File is a subset of the files contained in SSA’s “Numerical Identification System” or “Numident” database, which is itself a subset of the entire SSA master file collection.

Regardless of whether you are affiliated with an insurance payor, a health plan, a state licensing body, a credentialing organization or a participating provider or supplier organization, screening against the Social Security Death Master File is yet another step you can take to enhance your overall regulatory compliance efforts. Coupled with your ongoing federal and state screening obligations, checking the Death Master File can add an entirely new dimension to your regulatory compliance efforts.
To read more about the Social Security Death Master File, visit our article https://www.exclusionscreening.com/screening-the-social-security-death-master-file/

Meet our Co-Founder: Robert LilesWith a career spanning healthcare law, federal prosecution, and defense counsel, he bri...
02/14/2025

Meet our Co-Founder: Robert Liles

With a career spanning healthcare law, federal prosecution, and defense counsel, he brings a wealth of experience to the compliance and regulatory space.

A Diverse Legal Background
🔹 Worked on the provider side, as a Federal prosecutor, and as defense counsel for healthcare providers and suppliers nationwide
🔹 Former Assistant U.S. Attorney in the Southern District of Texas, handling False Claims Act cases
🔹 Served in Washington, D.C. as the nation’s first National Health Care Fraud Coordinator after HIPAA’s passage
🔹 Promoted to Deputy Director, Legal Programs at the Executive Office for U.S. Attorneys

Regulatory & Compliance Expertise
🔹 Focuses on Medicare overpayment cases, audits, and investigations
🔹 Defends healthcare providers in audits by UPICs, SMRCs, and CMS specialty program integrity contractors
🔹 Serves as Compliance Counsel for the American Association of Clinical Endocrinologists (AACE) and the American Medical Billing Association (AMBA)
🔹 Acts as an Independent Review Organization (IRO) for the Department of Health and Human Services, Office of Inspector General

A Recognized Industry Leader
🔹 Frequently lectures and presents at national conferences, seminars, and webinars on healthcare regulatory issues
🔹 Holds certifications as a Certified Professional Coder and Certified Medical Compliance Officer

Roberts expertise drives our firm’s commitment to protecting healthcare providers, ensuring compliance, and navigating complex regulatory challenges.

Meet our Co-Founder: Paul WeidenfeldWith a distinguished career in trial and appellate advocacy, Mr. Weidenfeld has hand...
02/13/2025

Meet our Co-Founder: Paul Weidenfeld

With a distinguished career in trial and appellate advocacy, Mr. Weidenfeld has handled approximately 50 trials and 25 appellate arguments, including appearances before the U.S. Supreme Court, the Federal Fifth Circuit Court of Appeals, and the Louisiana Supreme Court.

Recognized for excellence in both federal prosecution and private practice, his accolades include:

✅ Attorney General Award for Fraud Prevention
✅ Office of Inspector General Cooperative Achievement Award
✅ Inspector General Integrity Award
✅ Nightingale Outstanding Healthcare Litigator
✅ Recognition by the Louisiana State Bar Association Health Law Section

A leader in Alternative Dispute Resolution and mediation, he holds prior certifications in Louisiana and Virginia and is listed as a mediator with the American Health Law Association.

A sought-after speaker and panelist, he has shared insights at key industry events, including:
🔹 AHLA Fraud and Compliance Forum – False Claims Update Panel
🔹 MNCHA Annual Meeting – The Role of Background Checks & Exclusion Screening
🔹 HCCA Healthcare Enforcement Compliance Institute – False Claims Act Settlements

His expertise and dedication drive our mission to ensure compliance, integrity, and risk management in healthcare.

02/06/2025

What makes Exclusion Screening different? We have been in health care for a long time – Robert in 1984 as a Hospital Administrator and Paul in 1996 with the passage of HIPAA.

Exclusion Screening LLC is a secure cloud-based healthcare compliance solutions provider based in Washington DC. Serving clients nationally since 2014.

Want to See how we can help you? Schedule your demo now! https://www.exclusionscreening.com/schedule-a-demo/

Address

Washington D.C., DC

Opening Hours

Monday 9:30am - 5:30pm
Tuesday 9:30am - 5:30pm
Wednesday 9:30am - 5:30pm
Thursday 9:30am - 5:30pm
Friday 9:30am - 5:30pm

Telephone

+18002940952

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