Showing Posts In "Healthcare Screening, Credentialing & Exclusion Screening" Category

Best Practices for Monitoring

Out of 1,000 licensed healthcare practitioners, 20 of them will be practicing with an inactive license, 10 with a suspended license, and six with either restricted or revoked licenses or probation. There are several best practices when it comes to credentialing policies and procedures. These include identifying the licensed independent practices whose credentials must be […]

How Primary Source Verification and Monitoring Keep Your Patients Safe

The Office of Inspector General’s List of Excluded Individuals and Entities (OIG-LEIE) is a great source for hospitals, but making this the only source could lead to missing current and previous sanctions. Ongoing monitoring can allow hospitals to obtain real-time sanction and exclusion updates, as well as provide a glimpse into the history of those […]

The OIG White Paper

This white paper is designed to provide the latest information to medical HR and compliance professionals; either as a “refresher” for what’s already known, or a source for updated rules, regulations, and processes.

– The OIG itself
– Penalties for Violation(s)
– The Permanence of Exclusions
– Types of Fraud & Abuse
– Plus a lot […]

Where to Implement Exclusion Monitoring

The end of the year is the perfect time to evaluate current compliance programs that use effective processes and procedures to define, detect and prevent state and federal violations in healthcare, including patient care, physician license verification, billing, reimbursement, HIPAA privacy, and security. Allowing an excluded provider to practice can lead to severe consequences for […]

OIG Exclusions Screening: Best Practices for Healthcare

Individuals and entities can be excluded from receiving funding from federal healthcare programs and the Office of Inspector General (OIG) maintains a list in an online searchable database. Those who hire someone who is on the list can be subject to civil monetary penalties (CMP). Organizations are still on the hook if an individual is […]

5 Common Myths About Healthcare Background Screening

Background screening is a necessary part of the hiring process, but it can be complicated and confusing in the healthcare industry. There are several myths surrounding this important process, including that conducting an OIG/GSA check meets CMS Requirements for sanctions and exclusions screening. Many also believe that doing an enhanced nationwide search, or searching the […]

Understanding Healthcare Screening

Sanction and exclusion monitoring are part of a vital areas of compliance in the healthcare hiring space. A healthcare sanction, or an administrative action taken against an individual, an individual’s professional license, or an entity, involves serious consequences, such as exclusion that prohibits the sanctioned individual or entity from providing federally funded healthcare services or […]

How a Higher Standard of Screening Can Keep Your Healthcare Business in Compliance

As the COVID-19 pandemic has demonstrated, the service that healthcare professionals offer to United States citizens is crucial to a thriving American society. Organizations that employ workers in this sector should perform their due diligence to ensure that each of their providers/practitioners is properly licensed, have a clean history with their licensing board, and are […]

Overcoming the 5 Most Common Healthcare Screening and Monitoring Challenges

Every healthcare organization has its own unique background screening challenges and needs, impacting its ability to hire top talent while remaining compliant with regulations. What background screening obstacles are you running into?

Sterling’s Healthcare and Life Sciences division has compiled a list of the five most common monitoring and background screening challenges that we’re seeing health […]

Is Your Medical Credentialing Taking Too Long?

Verifying a provider’s credentials can be a time-consuming process, but it is essential to confirm a provider’s education, professional license and certifications, medical training, work history, references and more. Rigorous credentialing allows a healthcare facility to remain compliant with regulatory bodies, such as the National Committee for Quality Assurance. Credentialing should be an ongoing process, […]


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