How FACIS Ensures OIG Compliance

Verisys, through FACIS, provides comprehensive solutions for healthcare organizations to ensure compliance with OIG guidelines. This includes extensive screening and monitoring services that cover both federal and state-level exclusions and sanctions, thereby safeguarding organizations against potential legal and financial penalties associated with non-compliance.

Verisys Corporation, through its FACIS (Fraud and Abuse Control Information System), plays a crucial role in ensuring OIG compliance for healthcare organizations. Here’s how Verisys and FACIS contribute to OIG compliance:

Screening for Exclusions:

Verisys enables organizations to screen their employees and vendors for exclusions through FACIS. This is vital because employing excluded providers or vendors can lead to civil monetary penalties, especially when these entities are involved in federal healthcare programs.

FACIS screens disciplinary records collected from primary sources on healthcare providers who have faced adverse actions by federal or state government regulatory bodies or state-licensing boards.

Monitoring Services:

Verisys offers automated monitoring services that screen employees and vendors for exclusions, debarments, and board disciplinary actions on an ongoing basis. This continuous monitoring aligns with the recommendations from OIG and CMS for frequent screening of employees and vendors for exclusions.

  Verisys provides various products for this purpose, including FACIS, License Searches, Verified License Searches, the Abuse Registry, and the Sex Offender Registry.

Levels of FACIS:

FACIS is categorized into several levels, each catering to different compliance requirements:

• • • FACIS Level 1M: Meets federal government’s minimum requirements as outlined in the OIG’s Compliance Program Guidance and additional state Medicaid sanctions and other sources. This level is the baseline for organizations receiving government funding.
    • FACIS Level 3: Known as the gold standard, it includes sanctioning boards from all 56 U.S. jurisdictions across all provider types, accessing more than 3,000 sources. This level is recommended for a more comprehensive approach to OIG compliance.

Comprehensive Database

The FACIS database includes current and historical records on healthcare providers, individuals, and entities who have been sanctioned, debarred, excluded, or disciplined. This extensive database is crucial for thorough compliance and risk management.

Verisys offers various options for monitoring populations, including annual, semi-annual, quarterly, monthly, or even continuous reviews, which ensure up-to-date compliance with OIG regulations.