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

Making a List, Checking it Often: Healthcare Providers Ignore the HHS List of Excluded Individuals and Entities at Their Peril

The Health and Human Services Department’s Office of Inspector General (OIG) maintains the List of Excluded Individuals and Entities (LEIE), a database that is updated monthly and is of vital importance to healthcare employers seeking to reduce legal exposure related to employees and vendors. The database includes workers and organizations whose conduct has resulted in […]

Federal and State Level Exclusion Lists to Monitor

In order to stay compliant, healthcare institutions are tasks with monitoring countless lists, such as the List of Excluded Individuals/Entities (LEIE) and the list. There are also 43 state exclusion lists and Medicaid lists that should also be monitored. The LEIE, launched in the early ‘90s, “provides information to the health care industry, patients […]

What are Sanctions Checks?

Specialized background checks called sanction checks are made using international or government databases to identify individuals who are forbidden from certain jobs, activities, or industries. Used more often by health care institutions and financial companies, a thorough sanction check typically includes databases that are pertinent to the industry, such as debarments, exclusions, and probations.   […]

How Historical Data Can Be Key to Patient Safety

Historical data presented through sources like the Office of Inspector General’s List of Excluded Individuals and Entities (OIG’s LEIE) and FACIS can be beneficial in the future for keeping patients safe. When hospitals check and continuously monitor against these sources, questionable behavior and prior arrests can be discovered. Medical Staff Professionals (MSPs) should be required […]

Exclusion Monitoring Challenges

The Office of Inspector General (OIG) exclusion list is one way healthcare facilities can meet legal, ethical, and professional standards while ensuring compliance, program integrity, and patient safety. Failing to comply could lead to fines, loss of federal program reimbursement and eligibility, and even litigation. Practitioners, employees, contractors, and subcontractors should be screened against the […]

What is CVO Credentialing?

CVO credentialing – or the use of a Credentials Verification Organization to perform medical credentialing – verifies a provider’s credentials by obtaining primary source verification of a provider’s qualifications on the organization’s behalf. This can include verification of licenses, education, medical training, work experience, and other qualifications that confirm an individual’s status. The process, which […]

Should You Run Healthcare Sanction Checks on All Your Candidates?

A healthcare or medical sanction check researches any disciplinary action placed on a healthcare practitioner and/or the healthcare entity by a state medical board, ensuring the provider doesn’t have a questionable past before hire. A few of these sanctions include medical negligence liability (when a healthcare practitioner offers substandard medical care that an equally skilled […]

Best Practices for Healthcare License Monitoring

Monthly healthcare license monitoring can help healthcare organizations stay in compliance with federal and state regulations and keep patients safe. The first step is to verify that physicians have met graduate and undergraduate education requirements. Medical licensure requirements should also be verified and monitored to watch for disciplinary actions against the license. It is also […]

The Top 5 Provider Credentialing Errors

Provider credentialing, or, specifically, medical credentialing, is the process of verifying that a provider’s qualifications are current and in good standing. Typically taking place upon hiring a new candidate and as routine practice, while the provider is employed by a healthcare organization, the process consists of confirming that the applicant’s education, work history, license, and […]

8 Simple Steps to Expedite and Improve the Provider Credentialing Process

In order to assure the provider population of a health system is qualified to practice in the areas where privileges are granted and are compliant with quality standards and regulatory requirements, the provider applicant review process should include key considerations to determine whether the candidate should proceed to the next steps. Those points are: incomplete […]


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