Automated Exclusion and Sanction Monitoring

Save time and avoid fines and penalties for failure to comply! Use Compliatric’s fully automated, recurring exclusion monitoring system, which cross-checks healthcare providers, staff, and vendors against federal (OIG-LEIE, SAM, OFAC, NPPES, etc.) and state (no extra charge) exclusion, sanction, and debarment databases.

Exclusion Monitoring Software Features

Learn how Compliatric’s automated exclusion monitoring can help eliminate tedious, repetitive tasks from your organization’s workload, and ensure that you’re proactively alerted to primary source changes. Explore the full feature set below.

Automated Exclusion Checks

Enjoy the convenience of Compliatric’s automated exclusions checks. Tailor checks to your organization’s needs, ensuring efficient monitoring at intervals mandated by authorities for adherence to federal and state requirements.

Our comprehensive solution actively maintains employee, provider, contract, and vendor listings for thorough crosschecking, ensuring a robust system that covers all facets of your organization.

Stay informed with real-time notifications from Compliatric’s system. Receive prompt emails, keeping users updated on potential findings for proactive exclusion screening.

Simplify compliance with document management with features including attestation creation, and false positive resolution actions streamlining comprehensive record maintenance.

Compliatric captures and retains all of the data needed for an audit or survey at any time. You will have a complete overview of your monitoring’s results with advanced reports and dashboards just a click away.

Benefits of Compliatric’s Exclusion and Sanctions Monitoring Check System

Reduced
Risk

Continuous exclusion checks prevent loss of CMS eligibility, costly fines, penalties, the repayment of funds, and reputational damage.

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Thorough Vendor Management

Integration with HR information systems and our vendor and contract management solutions ensures relationships are only with compliant persons and vendors.

Efficiency and Cost Savings

Automated monitoring of providers, staff, and vendors saves time and money, freeing staff for other crucial tasks.

Improved Record Keeping

Superior record-keeping through logging every screening performed, along with the critical results for compliance proof.

Over 40 Databases Automatically Screened

OIG’s LEIE Database

Contains exclusions from Medicare, Medicaid, and other federal programs

GSA/SAM’s EPLS Database

Individuals and entities excluded from federal contracts, subcontracts, and federal benefits

OFAC’s Sanctions List

The Office of Foreign Assets Control enforces economic sanctions to accomplish policy, economic, and national security goals

State Exclusion Lists

State healthcare program (Medicaid) maintained lists of excluded individuals and entities

Frequently Asked Questions

What is an Exclusion Check?

An exclusion check typically refers to a process or system that is used to verify whether a particular individual, entity, or item is excluded or prohibited from certain activities or transactions. For healthcare compliance, exclusion checks may be conducted to ensure that healthcare providers, such as doctors or nurses, are not excluded from participation in government-funded healthcare programs.

Exclusion monitoring is crucial in healthcare compliance to ensure that individuals and entities participating in healthcare programs are not excluded from federal or state-funded initiatives. Exclusion list checking also helps prevent patients from receiving care from individuals who have been excluded from participating in healthcare programs due to disciplinary actions, such as license revocation or criminal convictions. Regular exclusion checks help organizations prevent legal and financial consequences, maintain program integrity, and uphold patient safety.

We automatically screen over 40 databases, including the List of Excluded Individuals (LEIE) of Office of Inspector General (OIG); the System for Award Management (SAM) of the General Services Administration (GSA); the Office of Foreign Assets Control (OFAC); as well as state exclusion lists.

Organizations often make crucial mistakes in exclusion screening, such as solely checking employees, restricting checks to the time of hire, or relying solely on the OIG List of Excluded Individuals and Entities (LEIE). Additionally, failure to consistently update policies and maintain thorough documentation can result in compliance gaps. It is essential to conduct thorough exclusion monitoring, including third-party vendors, and periodically assess the exclusion status of both current employees and contractors to ensure ongoing compliance with federal and state regulations. 

Failing to conduct exclusion monitoring in healthcare can have serious consequences, including Civil Monetary Penalties, False Claims Act liability, repaying Medicare/Medicaid overpayments, loss of program participation, and damage to an organization’s reputation.

Regular exclusion monitoring is not only a regulatory requirement but also a proactive measure to mitigate risks and uphold the integrity of healthcare programs.

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“If I had to use a spreadsheet to manage a new investigation, I could spend a whole day just notating the initial information. Then I’d spend about ten days in the course of a month copying and formatting the rest of the data into a document and attaching all of my supporting information. I can do all of that in an hour with Compliatric.”

Jennifer Theriot
Medical Compliance Officer, ASTHS
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Having Compliatric as a compliance portal has streamlined our Compliance Department at CareSTL Health tremendously. Compliatric has been a great asset to CareSTL Health and their platform is highly recommended.

Renée Jones, MHA, MBA
Chief Compliance Officer, CareSTL Health
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Compliatric has helped our organization recognize significant efficiencies in how we organize, track and report our compliance activities.  The customer support has been amazing in timeliness and quality of response and the continual development allows us to expand the scope beyond what we imagined when we first signed on.

Darrell Contreras, Esq
Compliance Officer, Millenium Health
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Everything we do in Compliatric is essential for running a primary care facility and maintaining compliance. It enables us to be organized and efficient, which impacts our performance and bottom line."

Clarissa Clinkscales
COO, Foothills CHC
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“Compliatric is a foundational piece of providing high-quality, dignified care to our health center patients, who deserve the same level of care as
anybody else. For us to do that in a safe, compliant matter is what we're all about.”
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Elena Freydin, DNP
Chief Compliance Officer, Lynn Community Health Center
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After our last site visit, I desired a better way to keep everything incrementally and accurately organized and up-to-date for our next site visit. This is when I learned about Compliatric, a web-based program that does all I wanted and so much more.

Edgar Chavez, MD
CEO, Universal Community Health Center
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“The real value of Compliatric is going forward. Now we will use the system faithfully for all our compliance activities, and we will be ready for our next site visit. We will be in a state of continual compliance.”

Dr. Kemi Alli
Former CEO, Millenium Health
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