Health Care Exclusion List Screening Policy

The Health Care Exclusion List Screening Policy is a legal template that outlines the guidelines and procedures to be followed by healthcare organizations, including hospitals, clinics, and other medical facilities, for screening individuals against various exclusion lists.

This policy ensures compliance with federal and state regulations by implementing a thorough screening process to identify individuals who are prohibited from participating in federally funded healthcare programs due to their involvement in fraudulent activities, misconduct, or other violations.

The template provides comprehensive instructions on the steps that healthcare organizations should take to screen their employees, contractors, and vendors against exclusion lists, such as the Office of Inspector General (OIG) exclusion list, the System for Award Management (SAM) exclusion list, and state-specific exclusion lists.

The policy highlights the importance of regular and ongoing screening to minimize the risk of employing or contracting with individuals or entities who are excluded from participation in healthcare programs. It outlines the responsibilities of various stakeholders, including human resources, compliance officers, and executive management.

Furthermore, the policy emphasizes the need for accurate record-keeping and documentation of the screening process, the results, and any actions taken as a result of the findings. It establishes a framework for reporting potential violations and ensuring appropriate disciplinary actions are taken when necessary.

By implementing this Health Care Exclusion List Screening Policy, healthcare organizations aim to safeguard their integrity, protect their patients, and maintain compliance with regulatory requirements to provide high-quality healthcare services.