Exclusion Monitoring

Automated Exclusion List Checks for Compliance

Exclusion monitoring is a core part of healthcare compliance, particularly in ensuring that healthcare providers do not engage with individuals or organizations that are excluded from participating in federal healthcare programs such as Medicare or Medicaid.

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Exclugo.ai’s Exclusion Monitoring solution continuously scans multiple exclusion lists (such as the OIG - Office of Inspector General), SAM (System for Award Management), and HHS Exclusion List to identify excluded entities, providers, or individuals who should not be involved in billing or providing services under government healthcare programs. Our AI-powered system cross-references these lists against your internal records in real-time to ensure your providers and contractors are eligible and compliant.

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• Real-Time Updates: Instantly detect and flag any newly added exclusions or changes to existing records.​​

• Comprehensive List Coverage: Includes federal, state, and custom exclusions to ensure full regulatory compliance.​​

• Automated Alerts: Receive notifications when an exclusion is detected, allowing for quick resolution and risk mitigation.