Catch sanctions quicker than ever with ProviderTrust
Search all 50 states for sanctions
When you use ProviderTrust to monitor for sanctions, you’ll be searching sanctions and disciplinary actions from all 50 state healthcare licensing boards, even including past sanctions.
Catch newly issued sanctions
Never miss a new sanction; our database is updated continuously with new sanctions from all state licensing boards on a monthly (and sometimes even more frequent!) basis.
When a new sanction match is found, you will be notified via email. In more sensitive cases, such as patient abuse or an exclusion match, you will also receive a phone call to confirm communication.
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How does ProviderTrust sanction screening work?
ProviderTrust’s sanction screening checks for sanctions against public lists, looking for any employee that has received a disciplinary action.
We scan each monitored employee on a daily basis against the current ProviderTrust database for a new match. With any new possible match, our processing team reviews the notice to determine if it is an exact match.
The key to our success is all in the individual name. We take the individual name and search all 50 states on an on-going basis for possible matches. If a sanction is discovered, we immediately verify the license at the primary source to ensure a true match.
The Monitor tab in our Passport solution records and displays the history of any possible sanctions or exclusion matches in real-time.
Put sanction screening on cruise control
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“I have worked with the Provider Trust team since the company opened with past employers and recommended my current employer to become a client as soon as my employment began. The PT team is fantastic to work with and I would recommend PT to anyone in the healthcare industry!”
Sanction screening 101
Everything you want to know about screening for sanctions with ProviderTrust. Have a question that’s not listed? No worries, contact us here.
What is a sanction vs an exclusion?
The term “sanction” can be confusing as it is a term used in several ways. Sanction is used to describe a disciplinary action against an individual’s license but is also used by the OIG and SAM federal data sets which describes an “exclusion” as a “sanction.” For our purposes, we are using the term sanction to mean a disciplinary action taken against a person’s license by a state professional license board.
Why monitor sanctions?
Sanction screening is a requirement by the OIG and CMS and should be a priority for any healthcare organization. Sanction screening is a preventative measure taken against fraud and abuse related to:
- Excluded individuals billing Medicare and/or Medicaid for items and/or services
- Patient abuse/neglect
- Defaulting on student loans
- Healthcare license revocation
- Misdemeanor affiliated with controlled substances
What are the consequences of a sanction?
A sanction from a healthcare disciplinary or licensing board can have significant consequences -including becoming excluded or sanctioned and placed on the OIG LEIE (available at www.oig.hhs.gov). The consequences for sanctions vary depending on the severity of the incident.
Exclusions are a severe form of a sanction. This provider will be prohibited from participating in federal healthcare programs and CMS dollar reimbursements. In addition, the sanction can also lead to GSA/SAM debarment and/or state Medicaid exclusion, too.
Once an individual or entity/vendor is excluded in one state, he/she/it is considered excluded in all states. (Section 6501 Affordable Care Act). In other words, under the Affordable Care Act, an individual or entity/vendor excluded in one state, is not permitted to participate in federal healthcare funds in all other states. A person or entity can be excluded by a federal agency (OIG) or by a state Medicaid agency.
Did you know that 40% of the time excluded providers on the OIG List of Excluded Individuals and Entities, LEIE, are derived from their license being sanctioned or revoked?