Importance of Continuous Monitoring With FACIS®

FACIS® (Fraud Abuse Control Information System) is a Verisys owned and maintained data platform consisting of primary source content from federal and state sources for exclusions, sanctions, debarments, and disciplinary actions against healthcare professionals and businesses.

FACIS is the Gold Standard

As the gold standard data platform and nationally used database, FACIS® is the most comprehensive data set for screening and monitoring healthcare providers to ensure compliance and protect patients and the healthcare organizations that serve them from financial and reputational risk.

A single point of access delivers results against more than 5,000 primary sources covering all taxonomies in every U.S. state, territory, and jurisdiction. An example of the ranges included: Illinois Department of Public Health, Alabama Board of Optometry, and Louisiana State Board of Dentistry.

Verisys has been collecting historical and current data from primary sources since 1992 and has created a unique, longitudinal database able to see every possible record on a provider and uses sophisticated analytics to spot trends.

FACIS® meets and exceeds the minimum level of screening required by HHS OIG’s standards of compliance.

FACIS® Includes:

• U.S. State Department
• U.S. Treasury Department
• Medicaid Exclusionary Source Data
• OIG, SAM, DEA, GSA, FDA, PHS, ORI, TRICARE, FBI, USDOJ
• Medicare Opt-Out
• 94 U.S. District Courts
• 42 state Medicaid sanctions
• 42 HEAT sources
• 52 state AG notice and release sources
• 36 state-level procurement/contractor debarment sources
• Screens for current exclusions and any historical records that are still being published by primary sources.
• Screens for all current and historical exclusions, debarments, and disciplinary actions and separates them into match categories 

Verisys helps you provide quality care to your patients through access to critical data for full transparency on your providers, suppliers, and support individuals and entities.

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The following is contributed by Hugh Greeley, author of Hugh’s Credentialing Digest

“Are we required to continuously monitor licenses and sanction activity and, if so, what is the definition of continuously?” That question is very important.

The answer is yes. It only makes sense that hospitals, clinics, and managed care organizations constantly know (or attempt to know) that their practitioners are qualified to provide care within the organization. Gone are the days of simply checking a physician’s license just prior to its expiration. Medicare regulations prohibit clinical affiliation with a sanctioned provider; for example, a physician who has had his DEA permit revoked cannot be permitted to order most medications.

Ideally, the medical staff office or the office of corporate compliance will have designed a system that alerts the organization whenever an important qualifying credential changes. The continuous monitoring service provided by the National Practitioner Data Bank (NPDB) is an excellent starting point. However, according to the Office of the Inspector General (OIG), many federal and state agencies do not report sanctions, revocations, or mandatory conditions in a timely manner. These lapses in process often result in significant delays in reporting relevant actions to the NPDB or to cumulative sanctions lists.

There are a growing number of services designed to continuously monitor the qualification of your staff members, an excellent example of which is offered by Verisys.

FACIS pulling data from primary sources vs NPDB passive data and delays in reporting

Unless your organization is large, with significant in-house technical skill, it may be more cost-effective for you to contract with such a service. The Fraud Abuse Control Information System, FACIS^® is inexpensive and the most reliable in the nation.

FACIS is the Single Source of Truth for Provider Exclusions, Sanctions, Debarments, Disciplinary Actions, and Adverse Behavior

FACIS taps more than 5,000 primary sources on each respective publishing schedule and adds 75,000 records monthly to its growing database of more than 8 million aggregated records. With verification, Verisys matches records to identities with 99.9% accuracy nearly eliminating the risk of false positive matches or missing a match because of an alias.

As the single source of truth, FACIS saves healthcare organizations time and money by delivering real-time search results on critical, actionable information.

Written by Hugh Greeley Credentialing and Healthcare Industry Expert HG Healthcare Consultant