Healthcare Background Checks
Office of Inspector General (OIG)
Scope of Work: By congressional mandate, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) exclusion database consists of individuals convicted of Federal healthcare programs fraud, convicted of patient abuse, licensing board actions and default on Health Education Assistance Loans.
Methodology: Universal Background Screening conducts a search of the current List of Excluded Individuals/Entities (LEIE) sanctions database published by the Department of Health and Human Services, Officer of the Inspector General. Records are identity matched to the applicant by at least two identifiers: name, and date of birth or social security number.
GSA Excluded Parties Listing System (EPLS)
Scope of Work: The Government Services Administration (GSA) is the agency responsible for oversight of Federal contracts and maintains a list of parties excluded from doing business with the Federal government. The Excluded Parties List System (EPLS) identifies those parties barred from receiving Federal contracts, including healthcare program funding or reimbursement, and from certain types of Federal financial and non-financial assistance and benefits.
Methodology: Universal Background Screening conducts real-time search of the database published by the U.S. General Services Administration (GSA) Excluded Parties List System (EPLS). Records are identity matched to the applicant by at least two identifiers: name, and date of birth or social security number.
FACIS® Level II and Level III
Scope of Work: A FACIS® (Fraud Abuse and Control Information System) search includes sanction information from the OIG, the General Services Administration (GSA) and other state and federal agencies. The information reported meets the government’s minimum requirements for sanction screening as set forth in the OIG Compliance Program Guidelines. Level II includes various sanction and exclusion data for a particular state, while Level III includes disciplinary action information taken by federal agencies as well as licensing and certification agencies in all 50 states.
Methodology: Universal Background Screening is an authorized subscriber to the FACIS® system, and conducts a real-time search for the applicant’s name at the time of request. Records are identity matched to the applicant by at least two identifiers: name, and date of birth or social security number.
National Practitioner Data Bank (NPDB)
Scope of Work: The National Practitioner Data Bank (NPDB) was enacted by Congress in response to the increasing occurrence of medical malpractice litigation and the need to improve the quality of medical care. Through the NPDB, state licensing boards, hospitals and other health care entities identify those who engage in unprofessional behavior. NPDB aims to prevent practitioners from moving from state to state without disclosure or discovery of previous medical malpractice payments and other unprofessional conduct. Adverse actions can involve licensure, clinical privileges, professional society membership and exclusions from Medicare and Medicaid programs.
Methodology: Universal Background Screening conducts real-time search of the National Practitioner Data Bank (NPDB). Records are identity matched to the applicant by at least two identifiers: name, and date of birth or social security number.
FACIS® is a registered trademark of Verisys Corporation.