CI Webinar Series: Health Care Comply Plus

Webinar Series: Health Care Comply Plus
Commercial Investigations LLC
www.commercialinvestigationsllc.com
About:
Courtney
Caola
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. 214
courtneycaola@commercialinvestigationsllc.com

About:
Lynn
Migliore
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:
800-284-0906 Ext. 216
lynnmigliore@commercialinvestigationsllc.com

About:
Michelle
Pyan
Michelle Pyan - President
 Started Commercial Investigations LLC in
March 2004
 Licensed Private Investigator
 Ran her first background investigation in
1991
 Contact:
800-284-0906 Ext. 202
michellepyan@commercialinvestigationsllc.com

About
Us:
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.

Health
Care
Comply
Plus:
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.

Health
Care
Comply
Plus:
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.

Health
Care
Comply
Plus:
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.

Health
Care
Comply
Plus:
Who Uses
 Hospitals
 Nursing Homes
 Assisted Living Facilities
 Physician Practices
 Health Insurers
 Placement Companies
 … and more

Health
Care
Comply
Plus:
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)

Health
Care
Comply
Plus:
Coverage
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.

Health
Care
Comply
Plus:
Coverage
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

Health
Care
Comply
Plus:
Coverage
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)

Health
Care
Comply
Plus:
Coverage
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 …

Health
Care
Comply
Plus:
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).

Health
Care
Comply
Plus:
No Results

Health
Care
Comply
Plus:
Results

Health
Care
Comply
Plus:
Results
Two
Names

Health
Care
Comply
Plus:
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:
Why
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.

Health
Care
Comply
Plus:
Why
 Ensure regulatory compliance
 Mitigate legal risk
 Minimize financial risk
 Protects against reputation loss
and damage

Presented by:
Courtney Caola, Lynn Migliore & Michelle Pyan
(800) 284-0906
facebook.com/commercialinvestigationsllc
twitter.com/CI_LLC
linkedin.com/company/commercial-investigations-llc
info@commercialinvestigationsllc.com
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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CI Webinar Series: Health Care Comply Plus