Mediregs has partnered with Strategic Management, the developer of S3™, to deliver the next generation of self-managed sanction and exclusion checking tools. S3 provides healthcare organizations with a robust and cost-effective web-based tool to screen sanctioned, excluded and high-risk individuals and entities against various federal and state databases.
Organizations that hire, contract with, or accept referrals from excluded individuals or entities risk severe penalties for each item or service furnished by the excluded individual or entity that is listed on a claim submitted for Federal program reimbursement. To help protect your organization from these risks S3 delivers:
- Real-time, 24 / 7 on‐demand individual and batch screening against federal and state government databases, stop paying by person or individual search
- Unique filtering algorithms for individual and entity screening
- Flexible architecture including user-friendly handling mechanisms and real time reports
- Downloadable and filterable screening results
- Security and privacy of sensitive information by allowing you to control the results and ensuring that results are not accessible to any third party, including S3
- Self Service Platform, stop paying by person or individual search
Plus, with S3 you'll have access to a customer support line staffed with compliance experts and practitioners.
Federal Databases
- OIG List of Excluded Individuals and Entities (LEIE)
- GSA Excluded Parties List System (EPLS)
- Unique Provider Identification Number Database (UPIN)
- National Provider Identifier Database (NPI)
- Office of Foreign Assets Control (OFAC) Specially Designated Nationals List (SDN)
State Databases
- Alabama
- Illinois
- Maryland
- New York
- Pennsylvania
- South Carolina
- Texas
- More coming
Key Drivers for Sanction Screening
For many years the Congress of the United States has worked diligently to protect the health and welfare of the nation's elderly and poor by implementing legislation to prevent certain individuals and businesses from participating in Federally-funded health care programs. The OIG, under this Congressional mandate, established a program to exclude individuals and entities affected by these various legal authorities, as contained in sections 1128 and 1156 of the Social Security Act, and maintains a list of all currently excluded parties called the List of Excluded Individuals/Entities.
In addition, the Centers for Medicare and Medicaid Services (CMS) has been urging states to require separate screening of Medicaid sanction data maintained at the state level.
Both at the federal and state level, enforcement initiatives are underway to ensure compliance with sanction screening. As such, regular screening of current and potential employees, contractors and vendors against the federal and state exclusion databases is more important than ever.
Strategic Management is a management consulting firm focusing on high-quality compliance and ethical solutions in the commercial, government and health care business sectors. Our consultants bring more than 30 years of industry and government experience to solve our client's pressing issues. Visit us at www.strategicm.com.
MediRegs, CCH and Aspen Publishers, part of Wolters Kluwer Law & Business is a leading provider of compliance and risk management, reimbursement, and workflow solutions for the health care industry.
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