Healthcare Sanctions and Compliance

Healthcare sanctions & compliance screening is a specialized suite of background check products focused on healthcare professionals (or any individuals/entities working in healthcare settings) and screens for currently barred or sanctioned from participating in federal or state healthcare programs. It also involves checking for any disciplinary actions or board sanctions against those licenses.

The healthcare industry is heavily regulated to protect patients and public funds, which makes background checks operationally vital.

Meet legal requirements for funding and participation. If your organization bills Medicare, Medicaid or other federal healthcare programs, you may be legally prohibited from employing or contracting with individuals or entities who are on an exclusion list. Violating this (even inadvertently) may result in hefty civil monetary penalties and could jeopardize your funding.

Protect patient safety and ethical standards. Individuals on sanction lists or with license board actions can have a history of professional misconduct. By screening licenses for any disciplinary actions or revocations and checking sanction lists helps strengthen your healthcare compliance program . This is also helpful in maintaining a safe environment and upholding the trust that patients place in your organization.

Protect your reputation & accreditation. Hiring or harboring a sanctioned individual can severely damage a hospital or clinic’s reputation and could impact accreditation status. Conversely, demonstrating a robust compliance screening program can be a positive factor in audits and accreditation reviews by showing your commitment to high standards and compliance.

Maintain financial integrity. Because many sanctions relate to financial fraud, such as overbilling or false claims, employing people with a track record of such behavior can negatively affect your business. Screening for exclusions and sanctions is part of a strong compliance program that helps keep financial dealings honest and helps prevent fraud internally.

Comply with law and policy. Many states require healthcare employers to check backgrounds including any sanction lists as a condition of licensure or just as best practice. Regular checks ensure you maintain continuous compliance, not just one-time at hire.

ScoutLogic provides an advanced and broad approach to healthcare compliance screening that allows you to make informed hiring decisions.

Broad database coverage. ScoutLogic products cover major federal and state exclusion lists. This include but not limited to: OIG LEIE (List of Excluded Individuals/Entities), the GSA/SAM exclusion database, FDA debarment list, DEA registrant actions if relevant, and we also check state-specific Medicaid exclusion lists.

License verification and monitoring. ScoutLogic's products review publicly available information on sanctions or disciplinary actions. You can integrate license checks into the onboarding and periodic review process to help with any compliance or regulatory needs you have.

Integrated sanctions screening with background checks. Often, sanction checks are handled separately or as an afterthought. ScoutLogic can incorporate them into the overall background check workflow if you prefer. You get one consolidated report that includes criminal history, employment/education verifications, and any credential searches including healthcare sanctions. This integration can help with your compliance needs, plus it saves time and reduces complexity.

Efficient and ongoing checks. Our sanction checks are very fast, many are electronic and can be completed within minutes to the same-day turnaround time. License verifications can also be quick via online systems, though with any information found confirm at the source but we expedite it. Additionally, we offer packages to re-run sanction checks at regular intervals on employee populations needed and notify you if anyone pops up as excluded.