US Department of Health and Human Services

The US Department of Health and Human Services (HHS) plays a critical role in protecting the integrity of America’s healthcare system through sanctions and compliance enforcement. By maintaining the OIG Exclusion List (Medicare and Medicaid exclusions) and the FDA Debarment List, HHS ensures that individuals and organizations involved in healthcare fraud, abuse, patient harm, license revocations, or criminal misconduct are barred from participating in federally funded health programs. These sanctions safeguard taxpayers, protect patients, and maintain ethical standards across the healthcare industry.

For hospitals, insurers, pharmaceutical companies, and compliance teams, regular screening against HHS exclusion and debarment lists is essential to avoid civil penalties, denied claims, contract terminations, and reputational damage. Proactive monitoring helps organizations stay compliant with federal healthcare regulations, strengthen due diligence, and build trust with regulators and patients.

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List Name	Records
Office of Research Integrity (ORI) - PHS Administrative Action Bulletin The Office of Research Integrity (ORI) publishes the PHS Administrative Action Bulletin to inform the public about actions taken against individuals involved in research misconduct within the Public Health Service (PHS). By staying updated with this bulletin, compliance experts can better understand the regulatory landscape and help foster ethical practices in research and funding environments.	53

List Name

Records

Office of Research Integrity (ORI) - PHS Administrative Action Bulletin

The Office of Research Integrity (ORI) publishes the PHS Administrative Action Bulletin to inform the public about actions taken against individuals involved in research misconduct within the Public Health Service (PHS). By staying updated with this bulletin, compliance experts can better understand the regulatory landscape and help foster ethical practices in research and funding environments.

FAQs

What is the role of the US Department of Health and Human Services in enforcing healthcare sanctions?

The US Department of Health and Human Services (HHS) is responsible for enforcing healthcare sanctions that protect the integrity of federal health programs. Through its Office of Inspector General (OIG) and related agencies, HHS identifies and excludes individuals and organizations involved in fraud, abuse, or misconduct from Medicare, Medicaid, and other federally funded programs. By maintaining and updating these sanctions lists, HHS ensures that only trusted providers and entities can participate in delivering healthcare services.

What is the HHS exclusion list for Medicare and Medicaid providers?

This exclusion list is maintained by HHS to identify healthcare providers, practitioners, or organizations that are prohibited from billing or participating in Medicare, Medicaid, and other federal health programs. Exclusions are usually applied for fraud, patient abuse, license revocation, or criminal convictions. Healthcare organizations are required to check this list regularly to avoid penalties and ensure compliance with federal regulations.

What is the FDA Debarment List and how is it connected to HHS sanctions?

The Food and Drug Administration Debarment List contains individuals or companies that have been barred from participating in FDA-regulated activities, such as drug approvals or submissions. While the FDA manages this list, it falls under the wider oversight of HHS. A company working with debarred individuals risks regulatory violations, making it critical for pharmaceutical and medical organizations to perform thorough screening against this list.

Why should healthcare providers and businesses monitor HHS sanctions lists?

Monitoring HHS sanctions lists is essential to avoid regulatory violations, financial penalties, and reputational risks. Hiring or partnering with excluded providers can result in claims being denied, contracts being voided, and even legal consequences. Regular screening of employees, vendors, and partners against HHS exclusion and debarment lists ensures compliance and protects organizations from serious risks.

How can Trademo help organizations comply with HHS sanctions requirements?

Trademo consolidates HHS sanctions data, including both the Exclusion List and the FDA Debarment List, into its global database of over 470 sanctions lists. With AI-powered search and entity matching, compliance teams can quickly identify excluded individuals and organizations, even when names appear in different formats. Automated alerts and bulk screening capabilities help healthcare providers, pharmaceutical companies, and insurers stay compliant with HHS regulations while reducing manual effort.

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