MedEx / Healthcare Compliance Search

MedEx / Healthcare Compliance Search

The MedEx (Medical Exclusion) search is an essential compliance tool designed specifically for the healthcare industry. It queries thousands of state and federal databases to identify individuals who have been excluded, sanctioned, or debarred from participating in government healthcare programs.

What Does the Search Cover?

To meet your organization's specific regulatory requirements, we offer several tiers of screening:

• MedEx Plus: Reports on the core federal databases, including the HHS Office of Inspector General (OIG) List of Excluded Individuals/Entities and the System for Award Management (SAM).
• MedEx Pro: Includes the federal OIG and SAM checks, plus state-specific Medicaid exclusion lists.
• MedEx Complete: Our most comprehensive tier. It includes OIG, SAM, and state Medicaid exclusions, while adding extensive checks for state medical board disciplinary actions.
• FACIS Level 3: This is directly comparable to the MedEx Complete search for clients whose compliance protocols explicitly require the "FACIS Level 3" naming convention on their final report.

How Does the Search Work?

Our team processes these searches by aggregating data from across the healthcare compliance spectrum to ensure you receive a complete, accurate picture.

1. Database Search: We query the selected tier's databases using your applicant's identifying information to locate any potential exclusion or sanction records.
2. Expert Verification: Because these databases frequently return name-only matches, our team carefully sorts through any potential "hits" to determine if the record definitively belongs to your applicant.
3. Record Delivery: Verified hits are populated directly on your report. For example, if an OIG exclusion or a state medical board action is confirmed, that specific, detailed record will be added for your review.

Pro Tip for Faster Turnarounds: If you order MedEx Complete or FACIS Level 3, we sometimes need the applicant's medical license number to verify state medical board actions. Having this number readily available when you place the order will significantly accelerate the completion of your search!

Who Needs This Search?

This search is mandatory for organizations operating within the healthcare sector, particularly those receiving federal funding such as Medicare or Medicaid. It is critical for protecting patients and your company from individuals who have had medical board actions taken against them or are currently on exclusionary lists.

This includes screening for hospitals, clinics, and nursing homes, and applies not just to doctors and nurses, but also to non-clinical administrative personnel or contractors who handle billable services.

Why Make This Part of Your Screening Process?

• Ensure Regulatory Compliance: Employing an excluded individual can result in catastrophic Civil Monetary Penalties (CMPs) and the requirement to repay all federally funded claims associated with that employee.
• Protect Patient Safety: This search identifies individuals with documented histories of patient abuse or neglect, keeping vulnerable populations safe.
• Prevent Healthcare Fraud: State medical boards and federal lists document severe financial misconduct, helping you avoid hiring bad actors with a history of billing fraud or prescription abuse.

FAQ

Can MedEx be used to satisfy OFAC and OIG compliance requirements?

While the MedEx database does include OFAC and OIG data, please note that it is an aggregated database and not a real-time, primary source search. If your organization has specific legal or regulatory mandates for compliance, we strongly recommend ordering our standalone OIG and OFAC products, which query primary sources directly to provide the most current, real-time results.

The information and opinions expressed are for educational purposes only and are based 
on current practice, industry related knowledge and business expertise. The information
provided shall not be construed as legal advice, express or implied. 

If you have any further questions, or need a product enabled on your account, 
please contact Verified First Client Services for assistance.

Call 844-709-2708 or email clientservices@verifiedfirst.com