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CFVA ScreeningYour Report · A Guide for Subscribers

Understanding the report we sent you.

This page explains, in plain terms, what your monthly screening report means, what to do with it, and where to verify anything yourself on the official government sources. It is a reference, not a sales page.

1 · How to read your report 2 · If a name is flagged 3 · If everything is clear 4 · Why we screen monthly 5 · The law & official sources 6 · What this report is — and isn't
Section 1

How to read your report

Each month we take the roster you gave us — staff, contractors, and vendors — and check every name against three official federal sources:

Every name on your roster comes back with one of two results:

CLEAR
No name match was found on the lists this month. Nothing further is needed — the dated report itself is your record that you checked.
POTENTIAL MATCH — VERIFICATION REQUIRED
A name on your roster is similar to a name on a list. This is not a confirmation that the person is excluded. It means one thing: this name needs to be verified by you using an official identifier, before any action is taken. Section 2 shows exactly how.
Your report is dated. That date is the point of the whole exercise: it is documented proof that you screened your roster on that day. Keep every monthly report on file — that file is what answers an auditor.
Section 2

If a name is flagged as a potential match

A name-only match is not proof of exclusion. Two different people can share a name. Before you act on a flag in any way, verify it yourself on the official OIG database, which is the only source that can confirm identity using a Social Security Number (for a person) or an Employer Identification Number (for an entity). Here is the exact process:

1
Go to the official OIG LEIE Online Searchable Database: exclusions.oig.hhs.gov. This is a free, public government tool.
2
Search the flagged person's name. Enter only the first few letters of the first and last name for the widest results. Also search any former names (maiden name, previous married name) — the list stores only the name known at the time of exclusion.
3
If a record appears, click the person's last name to open the verification form. Take the final step: enter the individual's SSN (or the entity's EIN) in the box and click Verify. The tool will tell you whether it is a true Match or No Match. A first-and-last-name match alone is never sufficient.
4
Use the database's Print Search Results button to save documentation of what you checked. (Your browser's own print function will not capture it correctly.)
5
Cross-check the same name on the other two sources where relevant: sam.gov (federal debarment) and OFAC Sanctions Search.
If the SSN/EIN confirms a true match: the person or entity is currently excluded, and no federal healthcare program will pay for anything they furnish, order, or prescribe. This is the point to stop and act — consult qualified healthcare compliance counsel about your next steps and any obligations you may have. We do not and cannot tell you to fire or terminate anyone; that decision, and the legal judgment around it, is yours with your advisors.

If you are unsure how to read a specific flag on your report, email us and we'll walk you through where it came from. We will point you to the record and the tool — the verification itself, using the private identifier, is always done by you.

Section 3

If everything comes back clear

A fully clear report is the outcome you want, and in most months for most practices, it is exactly what you'll see. It means no one on your roster matched an exclusion list this month. That is genuinely good news — and it is worth understanding why it still matters.

A clear report is not "nothing happened." It is a dated, on-file record that you met your screening obligation this month. The value of screening is as much in the documentation as in the catch. If a payer or auditor ever asks whether you were checking, your stack of dated clear reports is the answer — calmly, on paper, without scrambling.

Think of a clear month the way you think of a smoke detector that didn't go off. The point was never that it stayed silent — the point is that it was on, and you can prove it was on.
Section 4

Why we screen every month — even after a clear one

The exclusion lists are living lists. The OIG updates the LEIE every month, by the 10th. Someone who is clear today can be added next month. A single check at hire, or once a year, leaves a gap during which an excluded person could be on your payroll touching billable claims — and the standard the OIG applies is "knew or should have known." Good intentions are not a defense; a documented monthly check is.

That is why the cadence matters as much as the check itself. Screening monthly does two things at once: it catches a new exclusion the month it appears, and it produces the continuous, dated paper trail that demonstrates diligence if you are ever reviewed. Missing months is precisely the gap enforcement looks for.

One excluded person on a single claim can expose a practice to repayment, civil monetary penalties, and treble damages. The monthly report is inexpensive insurance against an outcome that is not.
Section 5

The law & the official sources

Everything in your report and in this guide traces back to public federal law and public government databases. You never have to take our word for any of it — here is where to read it yourself.

42 U.S.C. § 1320a-7
(SSA § 1128)
The exclusion authority itself: individuals and entities convicted of certain offenses are excluded from all federal health care programs. Read § 1320a-7 ↗
42 U.S.C. § 1320a-7a
(SSA § 1128A)
Civil monetary penalties, including for presenting claims for items or services furnished by an excluded person. Read § 1320a-7a ↗
42 C.F.R. Part 1001
& Part 1003
The regulations governing exclusions and the corresponding civil monetary penalties. Part 1001 ↗
ACA § 6501
If one state excludes a provider from its Medicaid program, all states must exclude them — which is why state lists matter alongside the federal one.

Official databases you can search yourself, free:

Section 6

What this report is — and what it is not

Please read this carefully.

A flag is a potential match, not a confirmed exclusion. Our screening compares the names you give us against public government lists. Name matching alone cannot confirm that a specific person is excluded. Only verification with a Social Security Number or Employer Identification Number on the official OIG database can do that, and that step is yours.

We provide a screening and documentation service based on public federal data. We do not make hiring, firing, contracting, or disciplinary decisions, and nothing in your report is an instruction to take any such action. Any employment or contracting action must follow your own independent verification on the official sources and your own judgment with qualified advisors.

This guide and your report are informational and are not legal advice. For your specific obligations, consult qualified healthcare compliance counsel. Civil penalty figures cited anywhere in our materials are statutory maximums that are periodically adjusted for inflation — confirm current amounts at oig.hhs.gov.

You remain responsible for compliance. Our service is designed to help you screen consistently and keep dated records; it does not transfer your legal obligation to us. Verify potential matches promptly, keep your reports on file, and screen every month.

Questions about anything on this page or in your report? Email support@cfaisolutions.com — we typically reply the same day.