OIG Exclusion List Report
Overview
Office of Inspector General (OIG) has the authority to exclude
individuals and entities from Federally funded health care programs. SETWorks regularly downloads the OIG Exclusion list on a monthly basis and compares the results with your current Staff profiles. More information on the OIG Exclusion List can be found here.
OIG Exclusion List Report
The OIG Exclusion List Report can be enabled using the Reports Utility in SETWorks. Each month, SETWorks will compare all active staff members with the OIG Exclusion List, attempting to match first name, last name, middle name and date of birth. Any matches found are stored for reporting, or notifications. Based on the matching criteria, there is a chance for false positives, since not all staff have their middle name and date of birth set on their profile. In cases where a match is found, you can verify the match here.
The OIG Exclusion List Report only searches for currently Active Staff. Deactivated users are not included.
If there are no matches then the results will be displayed as shown below:
If there are matches then the results will be displayed as shown below:
Detailed Information:
For every entry in the OIG CSV file, we extract pertinent information including the First Name, Last Name, Middle Name, Date of Birth (DOB), and State. This data serves as the basis for comparison against the staff records stored in SETWorks.
The First Name field is compared against the First Names of staff members, along with any corresponding entries under the 'ALTERNATE_FIRSTNAME' identifier category.
Likewise, the Last Name field is scrutinized against both the Last Names of staff members and their Maiden Names, in addition to any entries under the 'ALTERNATE_LASTNAME' identifier category.
Middle Names are cross-referenced with the Middle Names of staff members, including Middle Initials where applicable.
Date of Birth entries are matched against the DOBs of staff members.
Furthermore, the State field is compared against the respective states of staff members to ensure alignment and accuracy in the data matching process.
Entering Alternate Names for a Staff
To enter an alternate name for a staff, first navigate to the staff profile. You can do this from User Maintenance or Staff Management.
Select Edit Profile to open the user profile.
Navigate to the Identifiers section - highlighted in the screenshot below.
Select Add New Record to create a new entry.
Change the Type field to Alternate First Name or Alternate Last Name, depending on which name needs to be adjusted.
Type the name into the Identifier field.
Select Insert to save the Alternate Name.
Identifier Type Utility
Identifier Types have been pre-configured in the Identifier Type utility - no changes are necessary. Code of ALTERNATE_FIRSTNAME and ALTERNATE_LASTNAME must match exactly for the alternate names to function.
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