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Summary

Summary: Ensures compliance with healthcare regulations and protects patients by identifying individuals with a fraud or misconduct history.  Critical for hiring in hospitals and long-term care and pharmaceutical companies.

Typical Industries: Hospitals, long-term care companies, pharmaceutical companies, medical device firms. 

Typical Org Level: Healthcare HR, compliance officers, credentialing specialists, medical directors.

Healthcare credentialing separates qualified practitioners from dangerous imposters whose presence could trigger catastrophic compliance failures, patient safety incidents, and federal sanctions that destroy healthcare organizations. These comprehensive verifications span from federal exclusion databases to specialty board certifications, revealing everything from Medicare fraud convictions to fake medical degrees that practitioners hope will slip through basic screening processes.

The key to effective healthcare credentialing lies in layering multiple verification types for complete protection. Health Care Comply Plus™ provides comprehensive sanctions screening including federal exclusions and anti-terrorism databases, while OIG exclusion checks identify providers banned from Medicare and Medicaid programs. AMA Profile searches verify authentic medical credentials, Board Certification confirms specialty competence, and NPDB access reveals hidden adverse actions across state lines.

Each healthcare verification serves a critical purpose in comprehensive credentialing—explore the options below to build the healthcare screening strategy that protects patient safety while ensuring federal program compliance. Skip these verifications and you might as well operate a healthcare facility with a "Federal Investigators Welcome" sign prominently displayed in your lobby.

Health Care Comply Plus™ delivers FACIS level, comprehensive healthcare sanctions screening, including federal exclusions, state licensing actions, historical sanctions data, and Patriot Act terrorism screening. The gold standard for healthcare compliance that protects organizations from catastrophic federal penalties and program exclusions.

Learn More About CI's Health Care Comply Plus™

Healthcare sanctions screening separates compliant providers from those banned from federal programs, protecting your organization from catastrophic compliance failures that destroy healthcare businesses. These comprehensive searches verify providers against federal exclusion lists, state disciplinary actions, and anti-terrorism databases to ensure eligibility for Medicare, Medicaid, and federally funded programs. Skip these checks and you might hire an excluded provider whose presence automatically triggers federal penalties, program exclusions, and the kind of compliance disasters that shut down healthcare organizations permanently.

General Services Administration (GSA) exclusion searches protect federal contracting eligibility by identifying individuals and entities debarred from government work for fraud, ethics violations, and other serious misconduct. Comprehensive screening prevents contract terminations and organizational debarment from federal programs.

Learn More About CI's General Services Administration (GSA) Exclusion Search
OIG exclusion screening protects healthcare organizations from federal penalties by identifying providers banned from Medicare, Medicaid, and federally funded programs for fraud, patient abuse, and professional misconduct. Essential compliance verification with one-day results for critical healthcare staffing decisions.

Learn More About CI's OIG (LEIE) Exclusion List Search
Office of Medicaid Inspector General (OMIG) screening identifies state-specific Medicaid exclusions that federal OIG searches miss entirely. Essential state-level compliance verification with specialized search protocols for complete Medicaid program protection across all operational jurisdictions.

Learn More About CI's Office of Medicaid Inspector General (OMIG) Search

Professional license verifications separate the truly qualified from the convincingly fraudulent, confirming that your candidates actually possess the credentials required for specialized positions. These searches directly verify licenses with issuing authorities, ensuring they're valid, current, and free from disciplinary actions or restrictions. Bypass these verifications and you might hire a "licensed professional" whose only qualification is their exceptional skill at creating fake certificates.

AMA profile searches provide comprehensive physician credential verification including medical education, residency training, board certifications, and multi-state license status. Investigative-grade verification that protects patient safety while reducing liability exposure from unqualified practitioners.

Learn More About CI's AMA Profile Search
Medical board certification verification confirms authentic physician specialty credentials through direct board database verification. Essential specialty competence validation that protects patient safety while ensuring compliance with credentialing and insurance requirements.

Learn More About CI's Medical Board Verification Product
DEA certification verification confirms federal controlled substance authorization through restricted database access. Essential verification for practitioners prescribing controlled substances that protects organizations from catastrophic federal violations and regulatory investigations.

Learn More About CI's DEA Certification Search
National Practitioner Data Bank verification reveals multi-state adverse actions, malpractice payments, and disciplinary sanctions that geographic searches miss. Federally restricted database access prevents healthcare practitioners from concealing problematic histories across state lines.

Learn More About CI's National Practitioner Data Search
NPI number verification confirms authentic healthcare provider identity and HIPAA transaction authority while preventing billing fraud. Essential healthcare identity verification that protects organizations from federal compliance violations and fraudulent provider employment.

Learn More About CI's NPI Number Verification Search

Drug testing separates candidates who can safely perform their duties from those whose substance use could create serious liability and safety risks. These screenings detect the presence of illegal drugs or misused prescription medications through various biological samples, providing crucial insight into behaviors candidates don't disclose during interviews. Skip these tests and you might hire someone whose impairment could lead to workplace accidents, decreased productivity, or even catastrophic incidents—particularly in safety-sensitive positions where lives literally hang in the balance.

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FAQs

Find answers to your most pressing questions about our background screening services.

Focus: Identifies individuals excluded from employment in federally funded healthcare programs.

Considerations: Critical for regulatory compliance.

Recommendation: Required for all healthcare providers and suppliers and anyone working with federal health programs.

Contact a CIChecked Background Screening Expert for more information.

Other Services Offered:

  • Professional License Verification: Confirms the validity of medical licenses and certifications.
  • Credentialing Service: Ensures that healthcare professionals meet all necessary qualifications and standards.
  • Sanctions and Disciplinary Actions Check: Identifies any past sanctions or disciplinary actions against healthcare professionals.
  • Drug Screening: Monitors substance use to maintain a safe and compliant workplace.

For more details, visit CIChecked’s Healthcare Screening Solutions.

Focus: Comprehensive healthcare sanctions screening combining federal exclusions, state licensing actions, and anti-terrorism databases in one search.

Benefits: Identifies OIG exclusions, GSA sanctions, state disciplinary actions, and Patriot Act violations that could destroy healthcare operations.

Considerations: CIChecked's proprietary healthcare compliance solution providing the most comprehensive sanctions coverage available.

Recommendation: Use for all healthcare providers to ensure complete federal program compliance and prevent catastrophic sanctions.
Focus: Verifies individuals and entities against federal debarment lists for eligibility to participate in government contracts and programs.

Benefits: Identifies parties excluded for fraud, ethics violations, and other serious misconduct that could terminate federal contracts.

Considerations: Essential for federal contractors; covers both individuals and organizations with complex international sanctions components.

Recommendation: Use for all employees and contractors in federally funded organizations to maintain contract eligibility and prevent debarment.
Focus: Verifies healthcare providers against the federal List of Excluded Individuals/Entities for Medicare/Medicaid program eligibility.

Benefits: Identifies providers banned from federal healthcare programs for fraud, patient abuse, and professional misconduct.

Considerations: Updated monthly with immediate disqualification for any current exclusions; essential for federal program participation.

Recommendation: Use for all healthcare staff to prevent federal penalties and maintain Medicare/Medicaid billing eligibility.
Focus: State-specific Medicaid exclusion verification through individual Office of Medicaid Inspector General databases.

Benefits: Identifies state Medicaid exclusions that federal OIG searches miss entirely, ensuring complete program compliance.

Considerations: Requires separate searches for each state where providers practice; state databases operate independently.

Recommendation: Use in all states where your organization operates to ensure complete Medicaid program compliance.
Focus: Comprehensive physician credential verification including medical education, residency training, and board certifications.

Benefits: Validates authentic medical credentials while identifying fraudulent education claims and professional misconduct.

Considerations: Provides investigative-grade physician verification beyond basic license checks through exclusive database access.

Recommendation: Use for all physicians to ensure authentic medical credentials and protect against credential fraud.
Focus: Confirms authentic physician specialty credentials through direct specialty board database verification.

Benefits: Validates specialty competence and ongoing certification maintenance required for specialty practice areas.

Considerations: Voluntary certification representing the highest standard of specialty competence; multiple boards may apply.

Recommendation: Use for specialty physicians to ensure authentic specialty credentials and demonstrate commitment to excellence.
Focus: Confirms federal controlled substance prescribing authorization through restricted DEA database access.

Benefits: Validates legitimate controlled substance authority while preventing federal violations and regulatory investigations.

Considerations: Multi-state registrations required; restricted database access unavailable to standard background providers.

Recommendation: Use for all providers prescribing controlled substances to prevent catastrophic federal compliance failures.
Focus: Federally centralized repository of healthcare discipline records, malpractice payments, and adverse actions across all states.

Benefits: Prevents geographic concealment of adverse actions by identifying multi-state disciplinary history and malpractice settlements.

Considerations: Restricted federal database requiring authorized access; covers all healthcare disciplines and organizations.

Recommendation: Use for comprehensive healthcare practitioners to identify hidden adverse actions and malpractice history.
Focus: Confirms authentic healthcare provider identity through National Provider Identifier verification and HIPAA compliance.

Benefits: Prevents healthcare identity fraud and billing violations while ensuring legitimate federal transaction authority.

Considerations: Lifetime unique identifiers that don't validate licenses; requires integration with professional license verification.

Recommendation: Use for all HIPAA-covered providers to prevent identity fraud and ensure authentic healthcare transaction authority.

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