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OIG List of Excluded Individuals
In an attempt to streamline the process for checking Vanderbilt faculty and staff for violations in Federal health care programs, the Office of Compliance offers the above files to those whom regularly perform checks. These files are usually available for download on the 7th or 8th of each month. The OIG updates its monthly files around the 6th of each month (so that on August 6th the July data are placed on the OIG web site). These files are CUMULATIVE and are in an MS Access97 data base and are compressed using WinZip (a free evaluation copy can be obtained from their website). If you have any questions about how to further use these files, please contact Aaron Finley (e-mail) or at 3-2799. Please read the background on these files and visit the OIG website for more information on these files (e.g., general instructions, record layout, sanction type definitions, Sections 1128 and 1156 of the Social Security Act, etc.). BACKGROUNDThe Office of Inspector General's (OIG) List of Excluded Individuals/Entities (LEIE) provides information to health care providers, patients, and others regarding individuals and entities that are excluded from participation in Medicare, Medicaid, and other Federal health care programs. The OIG has provides a list of these individuals (currently over 17,000 individuals and entities) in two different formats. First, the on-line searchable database allows users to obtain information regarding excluded individuals and entities sorted by 1) the legal bases for exclusions; 2) the types of individuals and entities excluded by the OIG; and 3) the States where excluded individuals reside or entities do business. Users may query the database to determine whether a particular individual or entity is currently excluded from program participation by submitting information like first name, last name, date of birth, etc. Users may obtain data sorted by name, profession or specialty, city, state, zip code, or sanction type. Users may input information in any of these fields and will receive a list of currently excluded individuals and entities which meet the criteria entered. Second, the OIG continues to provide information on excluded individuals and entities in a downloadable database file format, which will allow users to download the data to their personal computers and either set up their own databases or combine it with their existing data. Monthly exclusion supplements to the downloadable database file are posted on their web site in the same format as the LEIE (dbf files). The LEIE is current through January 31, 1999. The user can append monthly files to the LEIE file. On this page, the user can also download the list of reinstated individuals or entities. This is a listing of individuals and entities whom have been reinstated and are, therefore, no longer sanctioned. It is important that if you find a match (when searching for excluded individuals) that you always go to the reinstated files to make certain that the person has not been reinstated. You do not need to download the monthly files and perform an append, if you use the files on the Office of Compliance site (see above download icons) - the appending has been done for you. The OIG and Office of Compliance sites provide information to Vanderbilt staff who are considering hiring or contracting with an individual or entity about the Medicare or Medicaid participation status of an individual or entity. Please read Revised OIG Sanction Authorities Resulting From Public Law 105-33 (on-lin PDF) for a comprehensive discussion on the responsibilities we have when hiring healthcare faculty and staff. | |||||
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