Healthcare providers working in the US are required to conduct regular sanction screening of contractors, workforce members, volunteers, vendors, and new hires. This screening is done to identify the entities and people excluded from participating in federal healthcare programs.
During the screening process, the last, middle and first names of the parties who need to be screened are collected. The Social Security Numbers, license numbers, and dates of birth are also collected. These details are screened against the information and names of the excluded entities and people listed in the federal and state exclusion databases, including:
The entities and individuals listed on these databases are healthcare providers who have been involved in unethical or illegal misconduct such as fraud, waste, or abuse. According to federal law, these people should not work as healthcare providers.
It is crucial to address these issues before they even begin to ensure that healthcare centers are safe for patients, providers, and customers. That way, healthcare organizations avoid the risks associated with working or hiring individuals who have been sanctioned.
Healthcare sanctions are disciplinary actions imposed against an entity or a person who holds a medical license. Their licenses are either revoked or suspended depending on the number and severity of infractions. They are usually imposed by licensing boards such as state licensing boards. These sanctions can make healthcare professionals or organizations be inhibited from participating in healthcare programs. They can also damage the operations, reputation, and finances of an organization.
Individuals can be on the US Department of Health & Human Services Office of Inspector General (OIG) Exclusion List for a number of reasons, including:
Sanction screening is done to discover a sanction on a medical license. This screening is mostly done when medical practitioners are being employed. Some of the things that show up during this screening include:
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