Evaluating Possible OIG and SAM Exclusion Matches with Limited Information
You are responsible for exclusion monitoring, so what should you do when there is sparse information in the federal or state database for you to evaluate potential exclusion matches?
This most commonly occurs with the System for Award Management (SAM EPLS) database’s exclusion entries, because SAM often only provides first and last name along with location. The Office of Inspector General Exclusion List (OIG) contains many more data points to help verify any potential sanctioned providers and entities.
SAM consolidates all of the separate government agency’s sanctions, such as the EPA, DOJ, OPM, etc. These agencies generally have the date of birth or partial SSN on file, however, SAM does not include this information within their sanction data, so the actual sanctioning agency must be contacted via phone or email to verify that confirming information against your search data.
Exclusion Matches with EPStaffCheck
TIP: If you are an Enhanced Service subscriber, your Vālenz® Health Representative will complete these second tier verifications for you. If you are a Standard subscriber, you will need to contact these agencies directly to gather the requisite information. The agency contact information can be found under the Help section within EPStaffCheck.
It is also important to collect date of birth from all of your providers with practicing, ordering or referring privileges. To adequately credential and comply with screening requirements, you need to thoroughly know your providers and staff!
