The Gold Standard in Sanction and Exclusion Data Management – Maximize Your Healthcare Compliance!
The FACIS® by Verisys data sets and sources play a crucial role in ensuring thorough healthcare monitoring and credentialing. FACIS® boasts a 99.97% accuracy rate when verifying a provider. We will identify anyone with the same name, but when we verify a provider we ensure the accuracy. Let’s explore how these elements contribute to the effectiveness and comprehensiveness of the system.
Extensive Range of Data Sources:
FACIS® draws from over 5,700 primary data sources, including 2,500+ state sources. This range includes the Office of Inspector General (OIG), System for Award Management (SAM), Drug Enforcement Agency (DEA), General Services Administration, Department of Justice, state Medicaid exclusions, Attorney Generals’ offices, and District Courts. The diversity and breadth of these sources mean that FACIS® covers a wide spectrum of potential compliance issues and risks.
Why does having extensive range of data sources matter?
By having extensive data sources, we are able to ensure that your organization can have confidence that individuals screened are compliant and are who they say they are. Our data scope minimizes the potential of bad actors hiding their identity and impacting your organization. This interoperability across various providers, health systems, and care settings is essential for ensuring continuity and quality of care. By integrating data from disparate sources, healthcare providers can gain a more holistic understanding of a patient’s health history and current needs. The combination of public and private data sources, including population surveys, claims, administrative data, and medical record abstraction, is used to assess the effectiveness and safety of healthcare services.
- Comprehensive Sanction Database:
With over 500 million current and historical records, FACIS® stands as the largest and most comprehensive sanction database in healthcare. This vast repository of information ensures that every relevant aspect of a healthcare provider’s history is considered during the credentialing process, reducing the risk of overlooking critical information.
- Real-Time Updates and Continuous Monitoring:
FACIS® undergoes continuous updates and rigorous quality assurance, ensuring that the data is not only extensive but also current. Healthcare providers’ credentials and histories change rapidly, making up-to-date information crucial for accurate credentialing and risk assessment.
- Active Aggregation Model:
FACIS® actively reviews various sources, including court minutes, to identify changes and potential risks. This proactive approach is essential as significant delays, sometimes exceeding six months, often occur before state-level exclusions appear in federal lists like the OIG’s. Verisys identifies risks more quickly by actively aggregating data instead of relying solely on federal updates.
- High Accuracy and Contextual Information:
FACIS® boasts a 99.97% accuracy rate when identifying a provider. More importantly, it goes beyond simply reporting sanctions or exclusions. FACIS® provides contextual information about the organization that recorded the action and the timing, offering a more nuanced view of the provider’s background.
- Integration with Industry Systems:
FACIS® integrates with various industry systems, enhancing functionality. FACIS can be integrated via XML – Verisys provides fast, easy access to legal data searches including sanctions and licensing data. API integration. We can fully integrate our data into your internal system for quick, no-lag results. By integrating our data into your scheduling system, any license status change or new exclusion triggers the scheduling system to block a provider from providing patient services. In addition, FACIS® automatically screens prescribers and runs a pass/fail transaction each time they fill a prescriptio
- Supporting Compliance Regulations:
The system helps comply with regulations set by state, federal, and standard-setting organizations like the Joint Commission, Utilization Review Accreditation Commission (URAC), and the National Committee for Quality Assurance (NCQA). This alignment ensures that healthcare organizations using FACIS® are meeting or exceeding industry standards.
In summary, the thoroughness of FACIS® in healthcare monitoring and credentialing is a result of its comprehensive data sources, real-time updates, proactive data aggregation, high accuracy, contextual reporting, integration capabilities, and alignment with regulatory standards. These features collectively contribute to a more robust and reliable system for mitigating risks associated with healthcare providers and ensuring the highest standards of patient care and safety.
