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Risk & screening 6 min read CredPro guide

Building an exclusion screening program

An operational approach to OIG, SAM.gov, and state Medicaid sources.

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CredPro · Compliance & trust
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CREDPRO · OPERATIONS

Compliance & trust

Access, audit, and exclusion screening

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Healthcare-ready

RBAC

Module-level permissions

Magic links

Passcode-protected sharing

Audit trail

Who verified what, when

Exclusions

OIG · SAM · Medicaid

Screening queue
Dr. PatelOIG · SAMClear
Dr. ChenMedicaid exclusionReview
Dr. OrtizNPDB self-queryOn file

Key takeaways

  • Screening is a rhythm, not a one-time checkbox
  • Findings need review ownership and documented decisions
  • Unresolved risk needs an escalation path
01

Build a repeatable rhythm

Build a repeatable rhythm: screen the relevant sources, review findings, document decisions, manage waivers where applicable, and escalate unresolved risk. The goal is operational visibility, not a one-time checkbox.

02

Sources teams commonly cover

Program design varies by organization, but many teams include:

  • OIG LEIE
  • SAM.gov
  • State Medicaid exclusion lists
  • Internal follow-up for matches and near-matches
03

Document the decision, not just the screen

A screen without a documented outcome is incomplete. Capture who reviewed the finding, what was decided, and what happens next—especially when a waiver or escalation is involved.

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On this page

  • 01Build a repeatable rhythm
  • 02Sources teams commonly cover
  • 03Document the decision, not just the screen

Keep reading

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