Results are ALWAYS VALIDATED before any communication back to the health care institution. Names of excluded individuals and entities are confirmed to be accurate through a manual investigative process that involves verbal communication with local, state and federal agencies, as required.

The organization exercises due diligence to prevent and detect inappropriate conduct by the Medicaid provider The organization promotes an organizational culture that encourages ethical conduct and is committed to compliance with the law. The compliance program is reasonably designed, implemented, and enforced so that the program is generally effective in preventing  and [...]