The OIG, or Office of Inspector General, has been at the forefront of the Nation's efforts to fight waste, fraud and abuse in Medicare, Medicaid and more than 100 other Department of Health & Human Services (HHS) programs. The OIG requires health care entities to regularly check the List of Excluded Individuals and Entities (LEIE) to ensure that individuals or entities are not listed. And, because the Federal Government requires it, we do too! Standard

AD.5.1 specifically addresses this requirement. AD.5.1: Your business must have written policies and procedures, which require you to annually verify and document that all employees, contractors and new hires are not on the Office of Inspector General (OIG) List of Excluded Individuals and Entities (LEIE).

Use the OIG Exclusion Checklist in our online Resource Pack to document this annual review. In addition, as part of the hiring process, you must verify and document that prospective new hires are not on the LEIE. You must document the date of the search, the names of the individuals or contractors checked and whether the individuals or contractors were on the list. An easy way to do that is to either print or save an image of the search results from your computer screen to document your findings.

Your surveyor will look for proof that you have performed this review and documented that none of your employees are on the LEIE. You must have policies and procedures in place that address the frequency of these checks and what you’re going to do if a current employee or a prospective new hire is on the list. You can perform the search at exclusions.oig.hhs.gov.