Monitor Healthcare Sanctions Continuously
Monitor healthcare sanctions and exclusions continuously through OIG and FACIS® database screening that detects new exclusions, state Medicaid sanctions, and licensing board actions throughout employment.
Start Sanctions Monitoring
WHY IT'S BETTER
Healthcare eligibility can change after hire when providers are excluded from federal programs, sanctioned by state Medicaid, or subject to licensing board actions that disqualify continued patient care.
FACIS® screening is structured into defined coverage levels from basic OIG only to comprehensive Level 3 including all state Medicaid and licensing boards.
Automated monitoring replaces manual monthly checks that consume compliance staff time while creating gaps when manual processes miss newly published exclusions.
Immediate notification enables swift provider removal before excluded individuals generate additional non reimbursable claims and civil monetary penalties.
Audit and survey readiness requires complete NPDB documentation in every credentialing file that demonstrates committee access to federal risk data.
A Structured FACIS® Sanctions Monitoring Workflow
Eligibility sources monitored continuously in four steps:
Enroll Individuals for Monitoring
Individuals are enrolled after onboarding or during initial credentialing with identifiers documented for continuous sanctions database monitoring.
Monitor OIG and FACIS® Sources
OIG and FACIS® related sources are monitored on defined schedules with daily or monthly checks detecting new exclusions and sanctions.
Validate and Review Findings
Detected matches are reviewed to confirm identity and exclude false positives before sanctions findings are reported.
Deliver Alerts and Reports
Alerts and reports notify teams of new exclusions or sanctions with supporting details enabling immediate provider removal and compliance action.
Healthcare Eligibility Oversight with Compliance for Good™
Secure handling, access controls, and documented monitoring scope support compliant eligibility oversight through continuous sanctions screening.
Trust & Compliance
Automated monitoring, secure handling, and audit trails support compliant sanctions screening with continuous eligibility oversight.
OIG and FACIS® sanctions monitoring is continuous screening against federal OIG exclusions, state Medicaid sanctions, and healthcare licensing board actions that disqualify individuals and entities from Medicare, Medicaid, and other healthcare program participation. Monitoring detects new exclusions and sanctions as they occur throughout employment. GCheck’s monitoring provides the continuous eligibility visibility that protects healthcare organizations from the billing violations, repayment demands, and civil monetary penalties that occur when excluded providers continue practicing and generating non-reimbursable Medicare claims that continuous monitoring detects early enough to prevent through immediate provider removal.
Continuous monitoring supplements initial sanctions screening by detecting post-hire exclusions that one-time checks cannot predict, though some regulations and contracts may still require periodic scheduled re-checks in addition to continuous monitoring. Monitoring provides superior protection compared to periodic checking alone. GCheck recommends continuous monitoring for all healthcare providers with program participation, as continuous oversight detects exclusions immediately rather than during scheduled re-checks when excluded providers have already accumulated months of billing violations that continuous monitoring would have detected early enough to prevent through immediate intervention.
Monitoring includes OIG LEIE federal exclusions, state Medicaid exclusions from all 50 states, and healthcare licensing board disciplinary actions depending on configured monitoring level. FACIS® Level 3 provides the comprehensive coverage healthcare organizations typically require. GCheck’s Level 3 monitoring covers federal OIG, all state Medicaid programs, and healthcare licensing boards, providing the thorough sanctions coverage that protects against the excluded providers that lower monitoring levels miss when federal-only or incomplete state coverage fails to detect the state Medicaid exclusions and board actions that comprehensive Level 3 monitoring identifies.
Exclusion updates are typically detected within 24-48 hours of source publication depending on monitoring frequency and data source update schedules. Most sanctions sources update monthly though some update more frequently. GCheck’s monitoring checks sources according to update schedules that balance timeliness against alert overload, ensuring exclusions are detected quickly without the excessive checking that creates unnecessary system load when source databases haven’t updated since previous checks that found no changes requiring notification when sources publish updates according to their regular schedules.
Hospitals, health systems, medical groups, home health agencies, ambulatory surgery centers, nursing homes, and healthcare staffing firms use sanctions monitoring to protect Medicare and Medicaid billing eligibility. Monitoring is essential for any healthcare organization with federal or state program participation. GCheck’s monitoring serves healthcare organizations where excluded provider employment creates immediate billing violations, providing the continuous eligibility visibility that protects program participation, prevents repayment demands, and maintains the Medicare and Medicaid billing authority that excluded provider employment immediately jeopardizes when exclusions remain undetected.
Yes, all monitoring activity including check dates, sources screened, matches found, and verification outcomes are documented with complete audit trails for credentialing files and compliance reviews. Documentation demonstrates continuous monitoring with the check frequency that regulations and contracts require. GCheck’s comprehensive documentation provides the monitoring history that satisfies Joint Commission surveyors, CMS audits, and commercial payor reviews, demonstrating continuous eligibility oversight with the documented check frequency and verified outcomes that prove sanctions monitoring occurred throughout employment rather than the periodic checking that leaves gaps between reviews.
Healthcare organizations use Level 3 FACIS® because it provides the comprehensive federal, all-state Medicaid, and licensing board coverage that CMS and commercial payors require for program participation. Lower FACIS® levels that cover only OIG or limited states miss the state Medicaid exclusions and board actions that Level 3 detects. Level 3 is the industry-standard coverage level that demonstrates thorough sanctions screening with the comprehensive source coverage that protects against the excluded providers that incomplete screening levels miss when federal-only or partial-state coverage fails to identify the state Medicaid sanctions and licensing board actions that Level 3 monitoring comprehensively covers.
FACIS® screening should be performed at hire and continuously monitored monthly throughout employment to detect new exclusions between credentialing cycles. CMS guidance and commercial payor contracts often require monthly monitoring frequency. Continuous monthly monitoring detects exclusions within 30 days of occurrence rather than during annual re-credentialing when excluded providers have already practiced for months generating non-reimbursable claims. GCheck recommends continuous monitoring for all healthcare providers with billing authority, as monthly screening provides the 30-day detection window that prevents the extended billing violations that annual re-credentialing allows when exclusions remain undetected for up to a year between scheduled checks.
Protect program eligibility by monitoring OIG and FACIS® sanctions sources continuously
with documented alerts and reporting.