Sitting Ducks No More: How Monthly Screening Stopped Excluded Hires Before Day One
Large Home Health Agency
At a Glance
The agency had been conducting OIG exclusion checks the way most healthcare organizations did: once a year, manually, with a spreadsheet and a prayer. It felt like enough -- until it wasn't.
An employee was excluded by the OIG in February. The agency didn't catch it until the December annual review. For ten months, they had been billing federal healthcare programs for services rendered by an excluded individual. The resulting Civil Monetary Penalty was substantial, and entirely preventable.
The agency switched to EcoCheck for automated monthly screening of their entire workforce against OIG, SAM, and state exclusion lists. Every employee was checked every month, with no manual intervention required.
EcoCheck also integrated into the hiring workflow, screening every applicant before an offer was extended. The system ran checks against multiple federal and state databases simultaneously, returning results in minutes rather than the days or weeks that manual verification required.
In the first month of operation, EcoCheck caught two applicants who appeared on federal exclusion lists -- individuals who would have been hired and billing federal programs under the old process. Each catch represented a potential six-figure penalty avoided.
Over 24 months of continuous monitoring, the agency maintained zero exclusion-related fines. The compliance team, which had previously spent weeks preparing for the annual review, redirected that time to other risk management activities.
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