OIG Compliance Program Software for Medical Practices

While not technically mandatory for all practices, the OIG strongly recommends it and having one in place can significantly reduce penalties during investigations. For practices participating in Medicare, a compliance program is increasingly treated as a practical requirement.

The seven elements are: (1) written standards and procedures, (2) compliance officer and committee, (3) training and education, (4) open lines of communication, (5) monitoring and auditing, (6) enforcement and discipline, and (7) response to detected offenses. GuardWell covers all seven.

Yes — included in the base plan. Federal law requires monthly screening of every employee, contractor, and vendor against the OIG List of Excluded Individuals and Entities. GuardWell ingests the LEIE data file the 1st of every month and re-screens every staff and vendor row on the 2nd. Pending matches land in a review queue with the source row attached; mark false-positive once and you never see the same hit again. See the <a href="/sanctions-screening">Sanctions Screening</a> page for full details.

The OIG strongly recommends compliance programs for practices of all sizes. While not strictly mandatory for every practice, having a program in place can reduce penalties by up to 60% during investigations and demonstrates good faith. GuardWell makes it practical for even solo practitioners to maintain a full 7-element program.

OIG exclusion screening checks whether employees, contractors, or vendors have been excluded from participating in federal healthcare programs. The OIG recommends monthly screening. GuardWell tracks your screening schedule and reminds you when checks are due.

GuardWell lets you designate a compliance officer and committee members, track their responsibilities, schedule committee meetings, and document action items. This satisfies the OIG's second element requiring a designated compliance officer with oversight authority.