How to screen for OIG, SAM & state exclusions
The statute-anchored guide: the monthly requirement, the lists, the cost of a miss, and a free full-roster screen.
Open →The short answer
What is exclusion and sanctions screening?
Exclusion screening is checking a person or organization against the government lists of parties barred from federal programs — and keeping a dated record of the check. In healthcare, that means the OIG LEIE, SAM.gov, and each state's Medicaid exclusion list; in federal contracting, it means SAM.gov debarment and suspension. A party barred in one place can stay active in another — which is exactly the gap a single-list check misses.
Fonteum screens across all of them at once, returns an excluded-anywhere signal, and signs every match back to its source file and snapshot date — the record an audit asks for. This hub is where the healthcare and federal-contracting sides meet.
Screen & search
Start a screen, or check a single party. The roster screen returns a signed attestation across every list.
Exclusion & sanctions screening + monitoring
The dual-buyer page: an API for developers and a dated audit record for compliance teams.
Open →Search the OIG LEIE by name or NPI
Check one provider against the federal healthcare exclusion list in a single query.
Open →The /sanctions exclusion data hub
The public OIG LEIE aggregate surface — free to browse and cite.
Open →The exclusion datasets
OIG LEIE — federal healthcare exclusions
Every party excluded from federal healthcare programs under SSA §1128, with field-level provenance.
Open →State Medicaid exclusion lists
The state lists mirrored into one excluded-anywhere screen — a single-state bar still surfaces.
Open →What is the OIG LEIE?
The List of Excluded Individuals and Entities, defined.
Open →Healthcare program exclusion, defined
What an exclusion is and what it bars a provider from.
Open →The civil money penalty
The per-item penalty for employing or contracting an excluded party.
Open →Research on exclusions
Original studies on who is barred, who stays active, and where the lists disagree — the citable evidence behind the screen.
Barred but still active in the directory
How many excluded providers still appear as active in the national provider registry.
Open →Excluded providers still enrolled in Medicare
Where an OIG exclusion and an active PECOS enrollment overlap.
Open →The federal–state exclusion gap
Parties on a state list that never appear on the federal LEIE.
Open →OIG exclusion patterns
What the LEIE shows about exclusion type, basis, and trend over time.
Open →The excluded-providers landscape
A full read of the federal healthcare exclusion population.
Open →Industry payments to excluded providers
Open Payments dollars flowing to parties already on the exclusion list.
Open →Federal contracting — the cross-vertical bridge
The same screening problem on the procurement side: who is debarred, and who got paid anyway. These /gov surfaces are the federal-contracting half of this hub.
Federal contracting on Fonteum
The procurement vertical — SAM.gov exclusions, entity records, and the same provable-records model.
Open →Federal-contracting questions, answered
An answer-engine hub for debarment, suspension, and exclusion in procurement.
Open →The federal suspension & debarment scorecard
Which agencies drive the active SAM exclusion population, by share.
Open →Contracts awarded during an active exclusion
Procurement leakage: awards that landed while the party was barred.
Open →What is an exclusion in federal contracting?
The procurement definition, and how it differs from a healthcare exclusion.
Open →Suspension vs. debarment
The two federal-contracting bars and what each one means.
Open →Common questions
Answers in one line each
- What lists should a healthcare exclusion screen cover?
- A complete healthcare screen covers two federal lists — the OIG LEIE and SAM.gov — plus every applicable state Medicaid exclusion list. A party barred by one state can stay off the federal LEIE, so a multi-state roster has to clear each jurisdiction, not just the federal pair.
- How is exclusion screening different in federal contracting?
- Federal contracting screens against SAM.gov suspension and debarment rather than the healthcare LEIE, and the bar is procurement-wide. The mechanic is identical — check the party against the government's list and keep a dated record — which is why Fonteum runs both off one provable-records model. Cross-vertical questions route through this hub.
- How often must exclusion screening run?
- The OIG republishes the LEIE monthly and recommends monthly screening of all employees and contractors, because the civil money penalty for employing an excluded party accrues per item or service. Many state Medicaid programs expect the same cadence. Monthly, documented against the dated files, is the defensible standard.
- What does an excluded-anywhere screen mean?
- It means one check resolves a party against the federal LEIE, SAM.gov, and every mirrored state Medicaid list at once, and flags a hit on any of them. A separate compromised-anywhere layer adds federal monitoring signals short of exclusion. Every match traces to its source file and snapshot date.
Go deeper
The other pillar guides
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Screen your whole roster against every list — free.
Upload a roster and get a same-day screen across the OIG LEIE, SAM.gov, and the state Medicaid lists, with a signed attestation. No PHI, no demo.