#providertrust

What is ProviderTrust?

ProviderTrust (www.ProviderTrust.com) is an innovative SaaS (Software as a Service) company that provides ongoing solutions to health care organizations’ compliance needs. ProviderTrust enables clients to be complaint with the required HHS/OIG exclusion checks as well as verifies and monitors required licenses and certifications. With ProviderTrust’s comprehensive services, health care providers and organization will be provided with monthly HHS/OIG exclusion list checks, a continual health care sanction screening, and a consistent and automated process for verifying and monitoring licenses and credentials.

ProviderTrust relieves clients of the time consuming burden of manually checking for exclusion lists by providing an automated monthly federal exclusion check of the OIG exclusion list, System for Award Management (SAM), the GSA EPLS debarment list, as well as any available state exclusion lists. 

If ProviderTrust finds any potential matches, they review each match to the client’s employees, providers, and vendors to manually determine the legitimacy of exclusion. 

This process not only helps clients to be compliant with required exclusion checks, but also saves clients’ valuable time and energy previously spent on manually checking these lists.

ProviderTrust also provides healthcare sanction screening as they work to find any disciplinary action or sanction levied against any employees or providers by health care licensing boards across all 50 states. 

Not only will this process find any historical disciplinary actions up to 15 years old, but ProviderTrust is able to monitor for and notify clients of any newly issued sanction as well. As 40% of all exclusions begin with a sanction, ProviderTrust understands a client being aware of sanctions gives them the ability to make decisions before an exclusion is levied.

Finally, ProviderTrust offers primary source health care license verification. ProviderTrust manually verifies all state board issued healthcare licenses when first entered into the ProviderTrust system and re-verifies when a license is renewed. Clients will also be notified via email when a license is expiring as well as given the ability to track any impaired licenses. 

In addition, ProviderTrust will make certain that all health care licenses and certifications required for all positions within the organization are maintained. Clients are able to customize all license and certification policies for employees and providers as well as manage any expiring or missing licenses and certifications. 

ProviderTrust also uses an email alert system to help potentially eliminate lapsed licenses or missing required licenses or certifications. These email notifications will reduce the client’s risk by allowing human resources and compliance to keep employees and providers properly licensed and certified.

Why Should I Use ProviderTrust?

With the passage of the Affordable Care Act on March 23rd, 2010, President Obama put into place a comprehensive health insurance reform that will change the way healthcare is delivered for the foreseeable future. As a part of these changes requirement policies have become extremely complex, and without the right systems it’s nearly impossible to continually check for sanctions and excluded providers as well as monitor every license, certificate, and other required items in your workforce.

For health care providers, not identifying any/all excluded providers employed can have severe consequences. Since 2008, the OIG has fined health care providers an average of more than $100,000 per excluded employee. These fines can include $10,000 for each item or service provided by an excluded individual or entity and fines up to tree times that of the amount paid for the services.

Health Care providers and organizations face significant challenges with compliance policies. Not only do policies change depending on the discipline, unit, facility, and state, but standard human resource and payroll software doesn’t have the specific toolset needed to address these changing policies. As a result, compliance has become a slow, manual, and repetitive process that can easily become overwhelming and unmanageable.

ProviderTrust wants to ensure health care providers and organizations avoid these severe consequences for failing to meet compliance standards. Their innovative technology and dedication to customer service enables their clients to focus less on these time consuming and monotonous tasks, minimize risk, and overcome the compliance challenges they face.