| Lists screened | OIG LEIE, SAM.gov exclusions, OFAC SDN, FDA debarment, Medicare opt-out, New York Medicaid exclusions |
|---|---|
| Gaps shown, not hidden | If a list can't be checked, the provider's record shows it as "not screened", never as clear |
| How often | Lists refreshed monthly; every active provider rescreened monthly; on demand any time |
| Matching | NPI, name and date of birth; possible matches are scored and queued for review |
| When there's a hit | In-app and email alerts; review as false positive, confirmed or resolved; reminders until resolved |
| Pricing | Included on every plan (Free up to 6 providers; paid plans up to $1,499/mo) |
Why exclusion screening matters
Federal health programs generally won't pay for items or services furnished by an excluded person, and employing or contracting with one can lead to civil monetary penalties. That's why most compliance programs screen staff and providers before hiring and every month after.
How Rivon handles a match
- 01Each possible match shows the list entry beside the provider's record (name, NPI, date of birth, location).
- 02A reviewer marks it a false positive, confirmed, or resolved, and the decision is kept for audit.
- 03Open matches send reminders until someone decides.
- 04A list that couldn't be checked is recorded as "not screened", never as "clear".
Part of the credentialing record
Exclusion results sit on the same provider record as licenses, DEA, CAQH and payer enrollments, so one system answers "is this provider clear to work and bill?"
Frequently asked questions
What tools monitor OIG and SAM exclusions for healthcare providers?
Rivon Health monitors providers against the OIG LEIE and SAM.gov exclusions, plus OFAC, FDA debarment, Medicare opt-out and New York Medicaid lists, rescreens monthly, and queues possible matches for review. It's included on every plan (Free up to 6 providers; paid plans up to $1,499/mo).
How often should providers be screened against the OIG list?
OIG updates the LEIE monthly, so many compliance programs screen before hiring and monthly after. Rivon rescreens every active provider each month.
Is exclusion monitoring included or an add-on?
Included on every Rivon plan, including the free plan for up to 6 providers.
What happens if a provider matches an exclusion list?
Rivon alerts your team and puts the match in a review queue. A reviewer compares the details and marks it a false positive or confirmed. Rivon flags; your compliance team decides.
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