Solving the Problems in Modern Healthcare Monitoring
Traditional exclusion monitoring methods are neither comprehensive nor efficient enough to handle the scale of today’s global and dynamic regulatory environment.
Existing systems are often cumbersome, slow, and can't keep up with the volume and complexity of exclusion lists that organizations are required to monitor in real-time. Moreover, many businesses lack resources or technical expertise to implement advanced solutions on their own; Exclugo solves these problems for our clients.
The goal is clear: to simplify, automate, and enhance exclusion monitoring using artificial intelligence; deploying a solution that enables organizations to not only stay compliant, but to do so with ease, confidence, accuracy, and speed.
Welcome to Exclugo, the intelligent, AI- powered, automated, List & OIG Exclusion monitoring solution!
Real-time, continuous exclusion monitoring of third-party vendors, contractors, business associates, medical staff, and employees designed
for healthcare experts, by healthcare
data experts.
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Real-Time Alerts
Receive instant notifications for any changes or updates in exclusions, licenses, or compliance statuses across all our monitoring products.
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AI-Powered Precision
Exclugo’s machine learning algorithms continuously analyze and improve our monitoring systems, ensuring that your compliance efforts are always at the forefront of technology.
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Comprehensive Coverage
With products covering exclusions, professional licenses, sex offenders, OFAC lists, NPIs, and DMF monitoring, Exclugo provides the broadest range of compliance monitoring services in the industry.
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Pioneering Technology
As the first to apply AI and machine learning to exclusion monitoring, Exclugo stands as the true leader and innovator in the field, ensuring you benefit from the latest and most advanced technology.
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Proven Expertise
Exclugo was the first to develop the Exclusion Alias Monitoring product and the National Sex Offender Monitoring product, setting the standard for future developments in healthcare compliance.
Delivering Additional Key Features
AI & Machine Learning
Exclugo runs on an AI platform that has been built and maintained by our own programming staff; ensuring quality and reliability of the data healthcare professionals depend on.
Process Automation
With the AI learning what data is important to you, and 24/7 real-time healthcare exclusion list monitoring, you can depend on Exclugo to provide you with exactly what you need, at the moment you need it.
Advanced Data Integration
Eliminate re-keying and spreadsheets with data integration that works for you; making your work life easier and more productive. Exclugo integrates with almost every platform, and can be fully customized for proprietary solutions.
End-to-End Data Privacy
With Exclugo's completely automated programming there are fewer individuals who come into contact with individual P.I.I., reducing the exposure to sensitive information.
FCRA
Compliance
Exclugo's healthcare & exclusion list monitoring is FCRA compliant, and thus adheres to the highest levels of governance; providing you with confidence in not only the data, but how it's reported.
Accelerated Compliance
Experience a powerful blend of experience, innovation, and forward thinking.
By using our software to automate your monthly exclusion checks you can mitigate the risk of doing business with an excluded provider or vendor and be confident that you are receiving accurate and professional results with each search.
Answers to Frequently Asked Questions
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What is an OIG Exclusion?OIG has the authority to exclude individuals and entities from Federally funded health care programs and maintains a list of all currently excluded individuals and entities called the List of Excluded Individuals/Entities (LEIE). The effects of an exclusion are that no payment will be made for any items or services furnished, ordered, or prescribed by an excluded individual or entity. Additionally, anyone who hires an individual or entity on the LEIE may be subject to civil monetary penalties.
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Why would an individual or entities be excluded?OIG is required by law to exclude individuals and entities convicted of Medicare or Medicaid fraud, patient abuse or neglect, felony convictions for other health care-related fraud, and felony convictions relating to use of controlled substances. OIG has discretion to exclude individuals and entities on several other grounds. The full list can be viewed on oig.hhs.gov.
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Why Use Exclugo?To avoid civil monetary penalties, health care entities need to routinely check that their new hires and current employees are not on an excluded list. There are a few lists that must be searched including the OIG’s List of Excluded Individuals/Entities (LEIE), SAM.gov and state exclusion sites. Each of these lists has their own system and format. Searching each one monthly is a great burden on already overworked HR professionals. Additionally, verifying the many false positives that come from searching the lists monthly is tedious and time consuming. That is where Exclugo comes in.
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How can Exclugo help my company?We automate the Exclusion checking process, taking the burden away from you and your staff, freeing you up to do more important things. Using forward thinking technology, we integrated exclugo with ApplicantSafe so that the OIG exclusion check can be run before hire as part of the background screening process. Once an individual is in our monitoring databank, the name is continuously monitored providing a system that is truly hands off from pre-hire through employment and throughout employment.
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What is the Exclugo process?Our unique system is built for use during the background check process with a exclusive “pre-hire” status. Individuals entered via a background check are under “pre-hire” status allowing them up to 6 months before being added to payroll. Periodically, a payroll list will be requested which will be used to cross reference those names in our system and on your payroll list. Names that are not found on the payroll list anymore will be removed from monitoring. The Exclusion check process starts when an individual is entered into exclugo via a background check, upload or payroll list. It is run through our database of up-to-date exclusions from the OIG’s LEIE, SAM.gov and many state exclusion lists. False positives are weeded through by our experienced team. Only a verified positive hit is reported. The name is continuously monitored for possible new exclusions.
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Will I be notified about arrests and criminal offenses?Arrests and criminal offenses often do not result in an Exclusion and are not part of exclusion monitoring. You will be notified when a criminal offense does result in an exclusion.
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Who uses Exclugo?Healthcare companies, just like you, who know that smarter technology equals better compliance and less manual work. They know that entrusting Exclusion checks to exclugo’s professional and experienced team provides many benefits including: -Automation (no need to sending over monthly spreadsheets) -Integration (our integrations with payroll companies eliminate the need for you to send payroll lists) -Security (we use the employee’s social security number and additional identifiers to get a greater picture of your employee’s previous address history) -Continuous (once a name is entered, it will be monitored until the employee has left your payroll list) -Verification of false positives (we only provide you with verified results) -Experience (this is what we do everyday!)