Automated, Continuous Exclusion Monitoring in One Platform Allowed Amwell to Scale with Ease and Ensure Patient Safety
Expanding on an existing relationship with ProviderTrust, which included exclusion monitoring for its 3,500 providers, Amwell added Medicare Opt Out and OFAC monitoring to keep up with the surge of providers that were onboarded during the COVID-19 pandemic. The expanded solution provided comprehensive automated exclusion monitoring in one easy-to-understand platform.
Not only has ProviderTrust saved us countless hours of unnecessary work and delivered peace of mind that no exclusions will be missed, but their solution is also the most polished one that we work with and we are frequently complimented on how organized our credentialing files and programs are.
7,500
providers onboarded by Amwell during the 3-month period from April 2020 to June 2020
300-400
providers batch uploaded in about 10 minutes, previously done manually by 3 FTEs
3-10
client audit requests supported at any given time
The Company
- Large telehealth solutions provider partnering with 55+ health plans, 2,000+ hospitals and health systems, and 81k providers
- Provides virtual healthcare services to 80 million members
- Headquarted in Boston, MA
The Challenge
With the rapid growth in telehealth, Amwell faced the need to scale quickly, including its compliance monitoring efforts. They faced the need to automate their ongoing exclusion monitoring to ensure a seamless screening process, from start to finish, and to ensure visibility during frequent client audits.
At the same time, Amwell was using multiple vendor databases, which resulted in overlapping and the duplication of some sanction screenings. Through this process, and by comparison with ProviderTrust, they found the other vendor had several sanctions and exclusion that went unreported due to outdated datasets. Amwell also found that the Medicare Opt Out list data was largely outdated, which led to delayed findings.
The Approach
Amwell added Medicare Opt Out and OFAC monitoring to its instance of the ProviderTrust Passport platform to keep up with the surge of providers that were onboarded during the COVID-19 pandemic. The expanded solution provided comprehensive automated exclusion monitoring in one easy-to-understand platform, allowing for:
- Exact-match results identifying excluded, sanctioned, or terminated providers in their populations.
- Ongoing Medicare Opt Out monitoring and process improvement.
- Elimination of additional verification and false-positives for excluded or sanctioned providers or employees.
- Batch uploads of 300-400 providers per day, eliminating hours of unnecessary manual work.
- Dashboard views to meet ongoing compliance and reporting requirements, including client audits.
For someone that’s considering doing business with us, there’s a pre-delegation review in which we show them organized files that have easily digestible information. This helps us sell ourselves and win business, and ProviderTrust has been a big part of that.
The Results
Amwell was successfully able to scale telehealth operations quickly during the COVID-19 pandemic, seeing a massive jump in virtual visits through 2020. Download the full case study to learn how Amwell grew by 300% in just three months with automated exclusion monitoring from ProviderTrust.
