Provider Signals™Monthly exclusion screening, automated
OIG guidance is to screen your people and vendors against the LEIE every month. Provider Signals automates monthly exclusion screening with continuous exclusion list monitoring — so “monthly” becomes “always,” without a 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 manual monthly exclusion screening isn't enough
Manual monthly exclusion screening means re-checking your roster every month, reviewing possible matches, and documenting the result. It is easy to miss a cycle and difficult to maintain an audit history. Automated exclusion screening and continuous monitoring re-screen your roster as source data changes and preserve an exportable history.
See the full approach on our OIG exclusion screening page.
For documented matching, review procedures, and recurring screening workflows, see our OIG exclusion screening best practices →
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.
Automate monthly exclusion screening.
Continuous OIG exclusion monitoring with LEIE alerts — start free.
Data & methodology
Sources: OIG LEIE, CMS NPPES. Informational only — not legal or compliance advice.