Tom created HealthProviders DB a platform to make healthcare provider data and exclusion data easier to search, verify, and monitor. The platform provides comprehensive healthcare provider data for research and exclusion screening tools used for healthcare compliance and provider due diligence. Tom has a background in developing SaaS applications for healthcare compliance, including a Clinical Trial Adverse Event Adjudication application fully 21 CFR Part 11-compliant & audited, and Speakers Bureau Management for Sunshine Act compliance.
The Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification required the adoption of a standard for a unique health identifier for healthcare providers. The NPI Final Rule, published on January 23, 2004, established the NPI unique identification number as this standard.
The Centers for Medicare & Medicaid Services (CMS) enforces HIPAA Administrative Simplification Requirements on behalf of Health and Human Services (HHS). The CMS enforcement activities include investigating complaints about potential noncompliance. Anyone can file a complaint against a HIPAA-covered entity.
The Centers for Medicare & Medicaid Services (CMS) enforces HIPAA Administrative Simplification Requirements on behalf of the Health and Human Services (HHS). The CMS enforcement activities include proactive enforcement through Compliance Reviews. Here’s what happens when a HIPAA-covered entity is randomly
You know it’s essential to screen new hires, current employees, and contractors against both the OIG Exclusions and SAM Debarments, but what’s the difference, and why screen against both?
State Medicaid Exclusion Lists A complete directory of all state Medicaid Sanctions, Suspensions, Terminations, and Exclusion lists with links to the primary source on the state agency website. HealthProviders DB imports these lists monthly as they become available, so the
Search OIG Exclusions To date, the Office of Inspector General (OIG), the System for Award Management (SAM), and all State Medicaid Agencies have reported more than 320,000 exclusions combined. Save yourself a lot of time and effort—Upload your provider list,
