OIG & HCAA Resource Guide [Healthcare Compliance Tips]
Healthcare Compliance Tips
Centers of Medicare & Medicaid Services [Healthcare Compliance Tips]

Exclusion Lists [Healthcare Compliance Tips]

Review and implement checking exclusion lists regularly within your practice.

In Part V of our series called “The Comeback Story: 9 Compliance Resources to Level Up Your Practice,” you must assign someone to check the:

LEIE, GSA, SAM and State Exclusion Lists


The exclusion lists provide information for the healthcare industry, patients, and the public, regarding individuals and organizations excluded from participating in Federal healthcare programs (e.g. Medicare, Medicaid, TRICARE).

The name of the databases includes:

  • List of Excluded Individuals/Entities (LEIE)
  • General Services Administration (GSA)
  • System for Award Management (SAM)
  • All state exclusion lists

How to Use It:

I have seen articles and received OIG alerts in which healthcare organizations owe large sums of money due to them not checking their staff, consultants, vendors, IT support services, volunteers, etc., against the list. It is even getting to the point that they are suggesting that anyone connected to a practice should be checked (e.g., cleaning services, referrals).

The database can be searched by individuals, singles, or multiple entities. If you are caught with an excluded individual from any state, you may run the risk of becoming an excluded entity, or subject yourself to civil monetary penalties.

Therefore, it is suggested that you ensure everyone is qualified to work within the practice at a federal and state level by checking the database on a consistent basis.


**The opinions and observations from the group/author are not a promise to exempt your practice from fines and penalties.  Research, modify and tailor the advice to fit your specialty

Click here for the next tip in the series.

Joi Sherrod, MPH, CPC, CPCO
Joi Sherrod, MPH, CPC, CPCO
Joi is an educator and owner of JNC Healthcare Compliance Group. After working for distinguished academic teaching hospitals and clinics, she is passionate about helping medical, dental, and behavioral health practices rethink healthcare compliance one trend at a time. Contact Joi at info@jnccompliance.com.