Industry Specific Inquiries

Healthcare

Health Care Comply Plus™

Health Care Comply Plus™ provides information on individual health care providers by conducting a search of the sanction information compiled by the Office of the Inspector General (OIG), the General Services Administration (GSA), and other federal agencies.

Unlike other providers, we go the extra mile by including historic as well as current sanction data.

In addition to federal agencies, Health Care Comply Plus™ extends its search to include disciplinary actions taken by other federal entities, as well as licensing and certification agencies in all 50 states.

OIG Exclusion (LEIE)

The OIG Exclusion List is a list of individuals and entities who have been excluded from participating in federal health care programs.

Individuals and entities on the OIG Exclusion List are prohibited from receiving payments from federal health care programs for any items or services they furnish, order, or prescribe.

Health care entities that hire individuals or entities on the list may be subject to serious civil monetary penalties.

GSA General Services Exclusion (SAM)

The GSA Exclusion List is a database of individuals and entities that have been excluded from doing business with the federal government.

The list is maintained by the General Services Administration (GSA) and includes individuals and entities that have been convicted of fraud, antitrust violations, embezzlement, theft, forgery, bribery, false statements, or other offenses indicating a lack of business integrity.

The list also includes individuals and entities that have been convicted of federal procurement fraud offenses, or that have been sanctioned by the government for engaging in illegal activities, such as drug trafficking or terrorism.

National Practitioner Data

The National Practitioner Data Bank (NPDB) was established to prevent healthcare practitioners from crossing state lines without disclosing prior adverse information.

The NPDB stores information about adverse or disciplinary actions taken against an individual, and any medical malpractice payments.

The National Practitioner Data Bank is not available to the public.

There are strict laws in place to determine the business entity that can access the data, and what specific data they are allowed to obtain.

CI has access to the NPDB through Section 1921 of the Social Security Act.

AMA Profile

An American Medical Association (AMA) profile is a comprehensive document that provides information about a physician's education, training, board certifications, state licenses, and other professional credentials.

AMA profiles are used by healthcare organizations, payers, and other entities to verify a physician's qualifications and ensure that they are qualified to provide care.

Board Certification

A medical board certification search is a process of finding out if a physician is board certified.

There are many different medical boards, each of which certifies physicians in a specific specialty.

DEA Certification

A Drug Enforcement Administration (DEA) certification or certificate search is required for any job position that is certified to administer controlled substances.

The Diversion Control Division of the US Department of Justice stores DEA license information, and it is not available to the public.

Entities need to make an account and be approved to be able to access the data. A valid DEA registration often indicates that the candidate has received proper training and education related to controlled substances.

NPI Number Verification

A National Provider Identifier, or NPI Number is a unique 10-digit identification number issued to all healthcare providers that are covered by the Health Insurance Portability and Accountability Act (HIPAA).

Some organizations allow their providers to work under one singular NPI number, meaning searching for one particular person could cost your hiring team valuable time.

Each individual only gets one NPI number for their life, no matter if they change their name or address.

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