OIG module
Replace a repetitive monthly search with a documented process.
Paying an excluded party out of a federal health care program is a civil money penalty per claim, and the exposure runs from the day they were paid rather than the day somebody noticed. So the screening runs itself. The only thing asked of a pharmacy is resolving what comes back.
How the month runs
Four steps, and three of them are ours.
The government publishes a new exclusion file every month at a fixed address. A daily job checks whether the edition on record is this month's, downloads it if it is not, and does nothing at all on the other thirty days.
OIG and SAM
- OIG exclusion listThe federal LEIE file, republished monthly. A daily job watches for the new edition and loads it the day it appears.
- SAM searchesFederal exclusion and debarment records, searched alongside it in the same run.
Employees and vendors
- Every employeeThe full roster each month, new hires the day they join, and anyone with an invitation still outstanding.
- Vendors and entitiesThe companies and contractors on your screening list, searched as entities rather than as people.
Who gets screened
Everybody the pharmacy answers for.
- Your active roster, screened every month against the current exclusion file.
- Anybody with an invitation still outstanding. Somebody who has accepted a job but not yet signed in is exactly who a monthly cycle would otherwise miss until their first payroll.
- Your own screening list: contractors, billing services, suppliers, and owners who draw no paycheck.
- New hires, screened when they join rather than when the next cycle happens to come around.
- A chain office's own staff, screened against its own list.
Resolving a match is four questions, asked one at a time
Is this close enough to be the same party? If it is, go to the OIG’s own site, pick the individual or entity search to suit, and verify with the Social Security or Employer Identification Number. Then say what it showed, and write down what you concluded.
They are sequential rather than one form, because somebody handed all four at once answers the last from the first. “Different middle initial, must be somebody else” is how an excluded pharmacist stays on a payroll.
A decision can be changed, but never erased
The original determination stays on the match, with who made it and when, so a surveyor can still read the first call. Walking back a confirmed exclusion cannot skip the lookup: somebody already judged the name close enough.
Data minimization
Sensitive data stays at the source.
The identifier used to confirm a match is entered on the government's own page. Dates of birth from the published exclusion file are discarded during import, keeping sensitive data out of NotchRx.
Ask us what a clean month looks like.
For most pharmacies it looks like nothing at all, which is the point. We will show you the month where something does come back.