Provider Signals™Monthly exclusion screening, done automatically
OIG guidance is to screen your people and vendors against the LEIE every month. Provider Signals does it continuously — so "monthly" becomes "always," with no spreadsheet to remember.
How often should you check the OIG exclusion list?
The OIG updates the LEIE monthly, and its Special Advisory Bulletin recommends screening employees, contractors, and vendors monthly to avoid civil monetary penalties for employing or contracting with an excluded individual. Checking only at hire leaves an 11-month blind spot each year.
Why a calendar reminder isn't enough
Manual monthly screening means re-uploading your roster to the free OIG search and eyeballing matches — every month, for every person. It's easy to skip, hard to prove you did it, and provides no record for an audit. Continuous monitoring re-screens your roster automatically on every LEIE update and keeps an exportable history.
See the full approach on our OIG exclusion screening page.
What the data says about how fast the LEIE changes
Monthly screening isn't a conservative recommendation — it's a response to how unpredictably the list moves. In 2024, the OIG added 3,132 new exclusions, one every 2.8 hours. Monthly intake over the last two years ranged from a low of 73 to a spike of 351 in a single month, with no seasonal pattern to predict the busy periods.
From December 2022 to May 2026, the LEIE grew by 6,284 records (+8.2%). An organization that screened once in early 2023 and has not re-screened since is missing more than 5,000 currently excluded individuals. Quarterly screening reduces that gap but still leaves a 90-day window — long enough for dozens of exclusions to post against a mid-size roster without triggering an alert. See the complete exclusion list statistics →
Frequently asked questions
Is monthly OIG exclusion screening required?
The OIG strongly recommends monthly screening against the LEIE because the list is updated monthly and penalties apply per claim involving an excluded person. Many states and payers require it contractually.
What's the difference between exclusion screening and monitoring?
Screening is the check; monitoring is doing it continuously with alerts. Monitoring satisfies the monthly cadence automatically and flags new exclusions the moment they post.
What lists should monthly screening cover?
At minimum the OIG LEIE; a complete program also covers SAM.gov and state Medicaid exclusion lists.
Make monthly screening automatic.
Continuous OIG LEIE monitoring with alerts — start free.
Data & methodology
Sources: OIG LEIE, CMS NPPES. Informational only — not legal or compliance advice.