Ethico

OIG exclusion screening with the industry's only $5M guarantee

One missed exclusion can cost millions in Medicare/Medicaid penalties—calculated per interaction. Ethico's EcoCheck delivers automated screening with precision algorithms that reduce false positives to 20-30% (vs. 90%+ elsewhere), batch processing that handles hundreds of names in hours, and the industry's only $5 million financial guarantee on accuracy.

The Shield

Financial protection no competitor offers

The Risk

Medicare/Medicaid penalties calculated per interaction. A sanctioned physician writing 30 prescriptions = $300,000 in fines ($10K x 30). Organizations face existential exposure from screening failures.

The Guarantee

Ethico's $5M ActionCheck Guarantee covers fines and penalties up to $5 million due to vendor errors. We're the only provider with this level of financial backing because we're that confident in our accuracy.

What's Covered:

OIG LEIE misses
SAM exclusion misses
State Medicaid exclusion misses
Screening errors resulting in regulatory penalties
The Engine

20-30% false positive rate vs. 90%+ industry standard

The Problem

Manual screening or weak algorithms generate 90%+ false positive rates. Your team spends days clearing "John Smith" matches that aren't actual exclusions.

Ethico's Approach

  • Multi-identifier matching (name, DOB, SSN, NPI, address)
  • Nickname and maiden name handling
  • Configurable stringency levels
  • Precision algorithms developed over 25 years
60-70%reduction in false positive noise
List Coverage

Every list that matters

Federal Lists

  • OIG LEIE (List of Excluded Individuals/Entities)
  • SAM (System for Award Management)
  • OFAC SDN

State Lists

  • All 50 state Medicaid exclusion lists
  • State licensing board actions
  • Nurse aide abuse registries

Additional Sources

  • 400+ authoritative databases
  • Configurable by organization needs
  • Updated continuously
Processing Speed

Hundreds of names in hours, not days

No hiring bottlenecks. No delayed onboarding. Screen your entire workforce without operational disruption.

VolumeProcessing Time
Small batch (<50)Under 1 hour
Medium batch (50-200)1-2 hours
Large batch (200+)2-4 hours
JCAHO 2025

Built for current regulatory requirements

JCAHO Mandate

Monthly credential verification required (effective 2025). Traditional annual screening is no longer sufficient.

EcoCheck Delivers

  • Ongoing monitoring, not just point-in-time
  • Customizable frequency (weekly, monthly, quarterly)
  • Instant alerts when exclusions occur
  • Audit trail for surveyors

What's included

CapabilityDetails
$5M GuaranteeFinancial protection on accuracy
OIG LEIE ScreeningPrimary federal exclusion list
SAM ScreeningSystem for Award Management
State ExclusionsAll 50 state Medicaid lists
Continuous MonitoringOngoing, not just onboarding
Batch ProcessingHundreds of names in hours
Managed AttestationComplex match resolution
Precision Algorithms20-30% false positive rate

How precision matching works

The algorithm that delivers 60-70% fewer false positives

StepWhat HappensWhy It Matters
Multi-Identifier InputName, DOB, SSN, NPI, address collectedMore data points = more precise matching
Fuzzy MatchingNicknames, maiden names, spelling variations handledCatches true matches despite data variations
Secondary VerificationAdditional identifiers confirm or rule out matchesReduces "John Smith" noise to actual exclusions
Stringency ConfigurationAdjust match sensitivity by role/risk levelHigh-risk roles get tighter matching
Human Review QueuingUncertain matches routed for specialist reviewFinal determination by trained analysts

Proof points

$5M
Financial guarantee
20-30%
False positive rate
400+
List sources
1-2 hrs
Batch speed
Weekly+
Monitoring options
"We were clearing 200+ false positive matches per month on our previous system. EcoCheck reduced that to under 40. The $5M guarantee gave us confidence to switch, and the accuracy made our credentialing team believers."
Linda H.
Director of Credentialing, Health System (18 hospitals)
80% reduction in false positive review time

Implementation timeline

OIG screening operational in 2-4 weeks

PhaseTimelineWhat Happens
DiscoveryWeek 1List requirements, matching stringency, alert routing
ConfigurationWeek 1Lists enabled, match parameters, notification rules
Data UploadWeek 1-2Historical roster import, matching algorithm tuning
ValidationWeek 2Sample batch processing, false positive rate verification
Go-LiveWeek 2-4Full monitoring enabled, ongoing screening begins

What happens next

1

See Precision Matching

Demo showing how multi-identifier matching reduces false positives for your typical roster.

2

Compare False Positive Rates

We'll run a sample of your roster through EcoCheck and compare false positive rates to your current solution.

3

Review Guarantee Terms

Full $5M ActionCheck Guarantee documentation before you commit.

4

Go Live

OIG screening operational with continuous monitoring and instant alerts.

Frequently asked questions

Screen with the industry's only $5M guarantee

See how precision matching delivers 60-70% fewer false positives while the $5M ActionCheck Guarantee protects against screening errors.

See EcoCheck Demo

Sample roster comparison available. See your false positive reduction.