Healthcare Sanctions Report (HSR)

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With the EBI Healthcare Sanctions Report (HSR), you are now able to screen individuals and entities in the healthcare field against a comprehensive historical database of adverse actions. This includes more than 600,000 adverse records of debarred, disciplined, excluded or sanctioned individuals and entities. HSR reports from more than 800 sources and about 50 types of healthcare professionals ranging from physicians and PA’s, nurses, mental health professionals and pharmacists to home health agencies, hospitals, clinics, managed care agencies and ambulatory services.

As stated in The OIG Special Advisory Bulletin from September, 1999, “No Federal program payment may be made to cover an excluded individual's salary, expenses or fringe benefits, regardless of whether they provide direct patient care...Prohibition applies whether the Federal reimbursement is based on itemized claims, cost reports, fee schedules or PPS.” 

HIPAA (P.L.104–191)
Grants the Office of Inspector General (OIG) the authority to administratively exclude members of the Board from the healthcare industry if they knew, or should have known, about the activity that gave rise to a conviction or exclusion in the company. It does not require judicial determination in the federal courts.  Therefore, it is important to know that the HSR also contains information from all 50 states on individuals who have been the subject of State licensing board sanctions. This information is very useful in helping healthcare companies to avoid the potential liabilities and risks of employing or contracting with individuals or entities who have been sanctioned and/or subject to performance or behavior problems while employed elsewhere. 

Penalties

• Up to $10,000 for each instance
• Assessment up to three times the amount of claim

How It Works
With a simple click of a button or submission of a list for batch processing, you can choose from one of three screening levels right from EBI’s online ordering platform….

Level One
OIG/GSA and other federal sources including FDA debarments, DEA restrictions and TRICARE (military actions). 
Meets minimum federal requirements as outlined in the OIG’s Compliance Program Guidance.  Ideal for low-risk employees and contractors not involved with patient care.

Level Two
All of Level One, plus a check of statewide sanctions in one state.  Meets minimum federal requirements and provides limited state-licensure protection (one state only).  Ideal for moderate-risk employees and contractors such as administrators.

Level Three
All of Level Two, plus a check of statewide sanctions in all fifty states.  Exceeds minimum federal requirements and offers much broader business risk management for existing employees, vendors and contractors.  Ideal for high-risk individuals and contractors—anyone directly involved in patient care or with direct access to patients, such as physicians, nurses, physical therapists, pharmacists, specialized contractors, etc.


People And Entities Who Should Be Screened

Acupuncturists Ambulance Companies  Audiologists  Chiropractors  Clinical Laboratories  Clinics  Counselors  Dentists  Dietitians  Durable Medical Equipment Suppliers  EMTs  Hearing Aid Fitters  Home Care Providers  Home Healthcare Companies And Affiliates  Home Infusion Companies And Affiliates  Hospitals

Insurance And Billing Companies  Managed Care Organizations  Medical Social Workers  Medical Transportation Services  Mental Health Counselors  Midwives  Nurses  Nutritionists  Occupational Therapists  Ophthalmologists  Optical Centers  Opticians  Optometrists  Pharmacies  Pharmacist Technicians  Physical Therapist Assistants

Physical Therapists  Physician Assistants  Physicians  Podiatrist Aides  Podiatrists  Psychiatrists  Psychologists  Radiologists  Registered Pharmacists  Rehab Centers  Respiratory Care Practitioners  Respiratory Care Technicians  Skilled Nursing Facilities  Speech Pathologists  X-Ray Clinics