Provider Signals™OIG exclusion screening that never stops checking
Provider Signals™ Risk — continuous provider compliance monitoring. A one-time exclusion lookup goes stale the day after you run it. Provider Signals monitors your roster continuously against OIG/LEIE, all-state Medicaid, CMS Preclusion, Medicare Opt-Out, and license & DEA actions — 50+ sources, one feed — and alerts you the moment a provider is excluded.
Why a one-time OIG exclusion list check isn't enough
The OIG updates the List of Excluded Individuals and Entities (LEIE) every month, and OIG guidance is to screen your employees, contractors, and vendors monthly. The free OIG search is built for looking up one name at a time — it has no roster, no history, and no alerts. So a provider can be excluded the week after you check and you won't know until your next manual pass. Billing for an excluded provider can mean civil monetary penalties and overpayment recoveries — the cost of finding out late is high.
Free OIG lookup vs. continuous exclusion monitoring
| Capability | Free OIG LEIE search | Provider Signals |
|---|---|---|
| One-time name lookup | Yes | Yes |
| Screen your whole roster at once (bulk) | Manual, one by one | Bulk upload / sync |
| Automatic monthly re-screening | No | Continuous |
| Alert when a provider is newly excluded | No | Email alert (Slack on the roadmap) |
| NPPES deactivation & status-change alerts | No | Included |
| Audit trail & exportable history | No | CSV export + API |
What we monitor
Exclusions & sanctions — additions to the OIG LEIE, GSA SAM.gov, OFAC SDN, Medicare Opt-Out, and all state Medicaid exclusion lists. NPPES deactivations — when an NPI is deactivated. Status & address changes — material changes to a monitored provider's NPPES record. Every change becomes an alert, not a surprise during an audit.
Who uses continuous exclusion screening
RCM & billing
Don't submit claims for an excluded or deactivated provider — catch it before it becomes a clawback.
Credentialing & CVOs
Re-screen your verified providers automatically between credentialing cycles.
VBC networks
Monitor every provider in your value-based network for exclusions and status changes.
How it works
Add your roster
Upload a CSV of NPIs or sync your provider list — no integration required to start.
We screen continuously
We re-check every provider against 50+ federal and state sources on each refresh — automatically.
Get alerted
Email alert the moment a provider is excluded or deactivated — Slack alerts are on the roadmap. Export the history to CSV or pull via API.
How the LEIE works — and why monthly screening
The OIG publishes the List of Excluded Individuals and Entities as a downloadable file and a public search, and updates it every month. A point-in-time lookup is stale the day after you run it — anyone excluded afterward goes unnoticed until your next pass. That is why OIG guidance is to screen monthly. Read the full LEIE explainer or see why monthly screening matters.
The cost of billing for an excluded provider
When you bill a federal program for an excluded provider, the claim is not payable, amounts already paid become overpayments you must return, and the OIG can impose civil monetary penalties — especially where you should have known. See the penalties in detail.
LEIE, SAM.gov, and state Medicaid lists
The LEIE is the federal health-care exclusion system of record, but a complete program also screens SAM.gov and the applicable state Medicaid exclusion lists, and re-screens existing staff and vendors — not just new hires. See our screening best-practices checklist and sanctions-screening guide.
How we match your roster
Exclusion screening is only as good as its matching. We match each person or entity against every source using the full identifier set together — NPI, first name, last or organization name, city, state, and ZIP — never one field alone. NPI alone misses records (the OIG LEIE and many lists don’t carry an NPI for every entry); a name or a location alone produces false matches on common names. When a source record has no NPI, we fall back to name plus location.
Because accuracy depends on your input, provide complete, correct details for every roster entry. When more than one possible match is found, we show you all candidates with their source records so you can confirm, select, or merge — we never auto-flag anyone as excluded. Always verify a match against the primary source before taking any action.
The OIG exclusion list — at a glance
As of May 2026, 83,256 providers and entities appear on the LEIE, up 8.2% since December 2022. The list adds roughly seven new exclusions every day, with monthly intake ranging from 73 to 351 — no predictable pattern. License revocation accounts for 39.8% of all exclusions (not a criminal conviction), making it invisible to a standard background check. And about 90% of LEIE records carry no NPI — OIG rarely records one — so an NPI-only lookup misses almost every nurses' aide, home health worker, and support staff member on the list.
| Metric | Figure | Why it matters |
|---|---|---|
| Total on LEIE (May 2026) | 83,256 | The pool your screening must cover |
| Average new exclusions / year | ~2,600 | Miss a month and you miss ~217 new entries |
| #1 exclusion reason | License revoked — 39.8% | Won't appear in a criminal background check |
| LEIE records with no NPI | ~90% | Require name + DOB matching, not NPI lookup |
Source: OIG LEIE snapshots Dec 2022–May 2026. Full statistics →
Frequently asked questions
How do you match my roster to the exclusion lists?
We match on the full identifier set together — NPI, first name, last or organization name, city, state, and ZIP — not on any single field. NPI alone misses entries (the LEIE and other lists don’t include an NPI for every record), and names or locations alone cause false matches, so when a source has no NPI we fall back to name plus location. The more complete and accurate your roster details, the more precise the match.
What happens when there’s more than one possible match?
We present every candidate match with its source record and let you select or merge the correct one — we never automatically mark a provider as excluded. A potential match is a prompt to verify against the primary OIG or SAM source, not a final determination. This keeps a human in the loop and protects against acting on a misidentification.
How often should you check the OIG exclusion list?
The OIG recommends screening employees, contractors, and vendors against the LEIE monthly, because the list is updated every month. A one-time check at hire leaves a gap — anyone excluded afterward goes unnoticed until your next pass. Continuous monitoring re-screens your roster automatically and alerts you the moment a match appears.
What is exclusion screening?
Checking your providers, employees, and vendors against government exclusion lists — primarily the OIG LEIE — to confirm none are excluded from federal health care programs. Billing for items or services provided by an excluded person can trigger civil monetary penalties and overpayment recoveries.
Is the LEIE the same as exclusion screening?
Not exactly. The LEIE is the OIG's federal exclusion database; exclusion screening is the process of checking your roster against it and other sources. Provider Signals screens the LEIE plus SAM.gov, OFAC, Medicare Opt-Out, and all state Medicaid lists — 50+ sources in all.
Do you screen SAM.gov and state Medicaid exclusion lists?
Yes. Provider Signals screens GSA SAM.gov, OFAC SDN, the Medicare Opt-Out list, and all state Medicaid exclusion lists alongside the federal OIG LEIE and NPPES — 50+ sources on every plan. It surfaces matches for you to verify and act on; it is not a final eligibility determination.
Stop relying on one-time exclusion checks.
Monitor your roster against the OIG LEIE continuously — start free in minutes.
Learn more about OIG exclusions & the LEIE
- What is the LEIE? — the OIG exclusion list explained
- LEIE vs. state Medicaid exclusion lists
- LEIE vs. SAM.gov exclusions
- Healthcare sanctions screening
- Billing for an excluded provider — penalties & risk
- OIG exclusion screening best practices
- Healthcare provider database — find new providers by territory
- Provider data management — keep provider records current
Exclusion screening by industry
- Nursing homes & SNFs
- Home health & hospice
- Hospitals & health systems
- Staffing & locum agencies
- CVOs & credentialing
- Billing & RCM companies
- Pharmacies & PBMs
- Behavioral health
- Dental & DSOs
- Ambulatory surgery centers
- Clinical & diagnostic labs
- FQHCs & community health
- DME suppliers
- Telehealth & digital health
- Health plans & Medicaid MCOs
Data & methodology
Sources: OIG LEIE, CMS NPPES. Informational only — not legal or compliance advice.