Provider Signals™Exclusion screening for billing & RCM companies
Submit one claim for an excluded provider and you're looking at denials, repayments, and penalties. Provider Signals monitors every provider you bill for against the OIG LEIE — continuously — and alerts you before a claim goes out.
Why billing companies get burned by exclusions
If you bill Medicare or Medicaid for items or services furnished by an OIG-excluded provider, those claims are non-payable and any payments are overpayments subject to recovery — plus potential civil monetary penalties. The exposure isn't yours alone; your clients feel it too, and it puts the relationship at risk.
Monitor your billed-providers roster, continuously
Upload the providers you bill for and we re-screen them against the OIG LEIE on every update, plus flag NPPES deactivations that signal a provider is no longer billable. You get an alert — not an audit-day surprise.
See the full workflow on our OIG exclusion screening page.
Frequently asked questions
Can you bill for an OIG-excluded provider?
No. Federal health care programs won't pay for items or services furnished, ordered, or prescribed by an excluded individual or entity, and amounts paid are recoverable as overpayments — with potential civil monetary penalties per item or service.
How do billing companies screen for exclusions?
By checking each billed provider against the OIG LEIE (and SAM.gov / state Medicaid lists) on a recurring basis. Continuous monitoring automates this and alerts you when a billed provider is newly excluded.
What about providers who get deactivated in NPPES?
Provider Signals also flags NPPES deactivations and status changes, so you catch providers who are no longer billable, not just those on the exclusion list.
Never bill for an excluded provider.
Continuous OIG LEIE monitoring for your billed-providers roster.
Data & methodology
Sources: OIG LEIE, CMS NPPES. Informational only — not legal or compliance advice.
Provider Signals™ Risk — part of NPI Data Services, a product of VBC Risk Analytics, Inc. — does not provide legal advice. We are not a consumer reporting agency, and our screening tools are not FCRA background checks; use them as part of, not a substitute for, your own compliance program and counsel’s guidance. See our Terms.