GROUNDS FOR EXCLUSION
Claims for excessive charges or unnecessary services
Submission of claims for items or services substantially in excess of the usual charge or cost, or for services that were not medically necessary or failed to meet professionally recognised standards.
What a staffing agency does with this
A permissive exclusion under 1128(b)(6) means Federal health care programmes will not pay for items or services furnished by, or at the medical direction of, the excluded party. If an excluded person is on your roster and a claim is submitted for their work, the exposure is repayment plus civil monetary penalties that accrue per claim — which is why the obligation is a recurring screening obligation, not a one-off hiring check.
Screening cadence
OIG guidance directs screening at hire and monthly thereafter, against the current published list. ExcludeRadar refreshes from the official OIG file and keeps the dated result so the cadence itself is evidenced.
Read the OIG authority reference →