Every month, we check the people and companies you employ or pay against the federal and state exclusion lists. We sort out the false matches, tell you about any real ones the same day, and hand you the documentation.
Federal health care programs do not pay for work performed by an excluded person or company, and an organization that employs or contracts with one can face repayment and penalties. Checking your roster against the exclusion lists every month is how you catch it. We do that checking for you.
Employees, contractors, agency staff, providers, vendors and their owners, and the board members and volunteers you choose to include. New hires and new vendors are added as they come on.
Every name, against the OIG exclusion list (LEIE), SAM.gov, the CMS Preclusion List, and the Medicaid exclusion list for each state you choose.
Most hits are false alarms from a shared name. We look into each one and tell you whether it is the same person. A real match is reported to you in writing the same day.
A monthly record of who was checked, against which lists, and how each match was resolved, ready to hand to an auditor or surveyor.
When an organization settles with the OIG over employing or contracting with an excluded person, the settlement is posted on the OIG's public enforcement page, with the organization's name and the amount.
The cases read alike. An excluded person was on the payroll or the vendor list, nobody caught it, and the organization agreed to pay to resolve it. Published settlements for employing a single excluded individual have run from about $21,000 to more than $500,000.
Hospitals, senior living operators, dialysis centers, and community providers all appear there. A monthly check, with a record that it was done, is what keeps an organization off that page.
Screening rarely fails because a list went unchecked. It fails because the covered population was never fully assembled — a staffing agency's roster, a vendor's managing employees, a volunteer nobody thought to include. The gap is invisible from inside the screening tool, and it is the first thing a surveyor reaches for.
Onboarding constructs the covered-population roster and reconciles these against each other. The discrepancies between them are the deliverable.
Every employee, without regard to role or duties. The baseline the other three are measured against.
Every entity paid. Owners and managing employees fall within the screened population and are rarely revisited after contracting.
Contractors, locums, agency staff, and subrecipients. Frequently held in a spreadsheet, sometimes in no system at all.
Board members, volunteers, and students, per the scope the client elects. They appear in no payroll run and are the most commonly omitted group.
A one-time, fixed-fee engagement answering a single question — who are we not screening? It stands alone and obligates you to nothing afterward.
Fixed fee by roster size: under 100 people $2,500 · 100 to 500 $4,500 · 500 to 1,500 $7,500 · over 1,500 by quote.
We reconcile the four sources against your current screening roster and hand you the difference, name by name.
Most organizations expect a handful of gaps. What surfaces is usually a category — an entire class of people nobody had assigned to anyone. Contracted therapists. A staffing agency's roster. The owners of a vendor that has billed you for three years.
Scoped deliberately so it can be done once, understood in a single meeting, and acted on without a standing engagement.
You transmit roster changes. We run the sources, resolve every result, and deliver the evidence. You act on anything confirmed.
Hires, terminations, new contractors, and new vendors reconciled into the covered population each cycle, with additions flagged for pre-engagement screening timing.
The OIG List of Excluded Individuals and Entities, SAM exclusion records, the CMS Preclusion List, and the Medicaid exclusion and ineligible-provider list for every state you elect. Additional lists on request.
Handled as a committed-turnaround transaction, not folded into the monthly rhythm. The failure mode here is someone starting work before the check clears, and a monthly cycle cannot prevent that.
No match, confirmed match, or unresolved — each with the identifiers compared and the basis recorded. A confirmed match is escalated in writing to your designated contact the same day, because exposure accrues for every item or service furnished while the person remains in a billable role. Nothing is silently closed.
Dated results, resolution records, and an exception report — delivered to you each cycle. You hold a copy of every package, so we are never the system of record for your own compliance evidence.
Quarterly reconciliation of the roster against payroll and the vendor master, and an annual summary written for a survey binder or a board report rather than for a systems administrator.
Priced on a one-time onboarding fee, a monthly base, and a per-covered-individual rate banded by roster size. Quoted to your roster after the baseline.
The monthly cycle and reporting. Roster maintenance stays with you; quarterly reconciliation is available separately.
Adds roster maintenance, quarterly reconciliation, and the annual summary. The tier most organizations need, because the roster is the part that drifts.
Adds an independent annual test of the screening record. Available only where Muster does not also hold your designated officer role — see below.
Stated here rather than buried in an engagement letter, because they are the reason to trust the work.
For any one client, Muster will hold no more than two of: author of the compliance policy, designated compliance or privacy officer, operator of the screening service. Holding all three leaves nobody to check the work. The election is made at engagement and recorded in writing.
Out of scope by design: employment decisions, credentialing and privileging, payer enrollment, overpayment quantification, self-disclosure, and legal advice on the effect of any particular exclusion. We document what we compared and what we concluded.
Rosters are workforce records. We do not accept patient data into this workflow for any reason, and we do not request full Social Security numbers as a matter of course — only the identifier needed to resolve a specific match, and not retained past resolution.
Organizations where screening is technically happening and nobody is confident the list is complete.
Twenty minutes. Tell us how your roster is assembled today and we'll tell you where the gap is most likely sitting.
Book a 20-minute call