CI Webinar Series: Health Care Comply Plus

CI Webinar Series 06/26/2014

Webinar Series:

Health Care Comply Plus

Webinar Series: Health Care Comply Plus

Commercial Investigations LLCwww.commercialinvestigationsllc.com

About UsAbout:CourtneyCaola

Courtney Caola - Client Services Specialist Joined Commercial Investigations LLC

in December 2013 Masters Degree from John Jay Six years working as an Investigator

with the Federal Government conducting background investigations

Total of 12 years working with government agencies in various roles Contact:

800-284-0906 Ext. [email protected]



About UsAbout:LynnMigliore

Lynn Migliore – Business Development Joined Commercial Investigations LLC

in October 2013 Six years experience with sales Total of 15 years experience with

administration and customer service Contact:




About UsAbout:MichellePyan

Michelle Pyan - President Started Commercial Investigations

LLC in March 2004 Licensed Private Investigator Ran her first background investigation

in 1991 Contact:




About UsAboutUs:Commercial Investigations LLC

Commercial Investigations LLC (CI) is a certified woman owned enterprise and NYS licensed private investigative agency.

Our vision is to be the most innovative and educational background investigations partner.



About UsHealth Care ComplyPlus:Definition

A powerful suite of comprehensive medical screening solutions designed to reduce risk in the health care setting by assisting in the verification of practitioner credentials and the identification of sanctioned individuals.



About UsHealth Care ComplyPlus:Definition

Fraud and Abuse Information System — Current and historic records of disciplinary actions, debarments, sanctions, exclusions, and for all provider types at state and federal levels.



About UsHealth Care ComplyPlus:Risk Reducer

Examines multiple state and federal sources to assist in the identification of health care providers who may have histories of federal or state level disciplinary actions or disqualifications, or may otherwise place your organization at increased risk.



About UsHealth Care ComplyPlus:Who Uses

Hospitals Nursing Homes Assisted Living Facilities Physician Practices Health Insurers Placement Companies … and more



About UsHealth Care ComplyPlus:Coverage

This search meets the requirements for screening by the Office of Inspector General's Compliance Program with information from the following federal sources: OIG (Office of Inspector General) GSA (General Services

Administration) FDA (Federal Drug Administration) DEA (Drug Enforcement

Administration) TRI-CARE (Formally CHAMPUS)




Multiple state and federal sources to assist in the identification of health care providers who may have histories of state or federal level disciplinary actions or disqualifications, or may otherwise place your organization at increased risk. Assists users in their compliance efforts with the US Patriot Act and includes a multitude of databases covering US and foreign sanctions and watch lists as provided by US and foreign governments and international organizations.




Partial list of government agencies and other organizations searched: OIG: Office of the Inspector General

Sanctions SAM: System for Award Management (CCR

/ FEDREG / ORCA / GSA / EPLS) OMIG: Available State Office of the

Medicaid Inspector General Exclusions 50 State Licensing and Disciplinary Actions Federal Bureau of Investigations Drug Enforcement Administration

Domestic and International Fugitive Watch List

Interpol US Department of Treasury Office of Thrift

Supervision




Partial list of government agencies and other organizations searched (cont.): Office of the Comptroller of the Currency US Department of Health & Human

Services Office of Inspector General (OIG) US Department of Justice Drug

Enforcement Administration Bureau of Alcohol, Tobacco, Firearms and Explosives

Australian Department of Foreign Affairs and Trade (DFAT)

US Department of Commerce US Department of State Office of the Superintendent of Financial

Institutions – Canada (OFSI)




Partial list of government agencies and other organizations searched (cont.): Bank of England US Secret Service United Nations Security Council World Bank Federal Deposit Insurance Corporation

(FDIC) US Department of Treasury Office of

Foreign Assets Control (OFAC) Specially Designated National (SDN)and many more …



About UsHealth Care ComplyPlus:Results

The easy-to-read report includes information from several state and federal agencies if disciplinary action was taken.

The report identifies the action, description, state, authority and date (if available).



About UsHealth Care ComplyPlus:No Results



Health Care ComplyPlus:Results



Health Care ComplyPlus:ResultsTwo Names



Health Care ComplyPlus:Results



About UsHealth Care ComplyPlus:Why

Health care transactions are trust-based transactions and the failure to verify, comply, manage risk or reputation could be very costly to your organization. Health Care Comply Plus supports a well-deployed compliance program, mitigates the risks of revenue and reputation loss and helps you to know the employees, providers and vendors you work with are not high-risk individuals who have been debarred, sanctioned or excluded from participation in state and federal health care programs.




Health Care Comply Plus is based on primary sourced information from thousands of state and federal sources.

Ensure that every health care transaction is valid by using Health Care Comply Plus as part of your background investigations.




Ensure regulatory compliance

Mitigate legal risk Minimize financial risk Protects against reputation

loss and damage



Wrap Up

Presented by: Courtney Caola, Lynn Migliore & Michelle Pyan

(800) 284-0906www.commercialinvestigationsllc.com

facebook.com/commercialinvestigationsllc

twitter.com/CI_LLC

linkedin.com/company/commercial-investigations-llc

[email protected]


http://pinterest.com/proactivetruth/

The information provided in this presentation does not constitute legal or accounting advice. It is for information and discussion purposes only.

This presentation may not be reproduced without the written consent of the author.



CI Webinar Series: Health Care Comply Plus

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Transcript of CI Webinar Series: Health Care Comply Plus