Say hello to smarter healthcare license monitoring.
Our continuous license monitoring and primary source verification ensure that every employee or provider has the required credentials to serve your patients.
How are you verifying and tracking healthcare credentials?
Comprehensive License Monitoring
Verifying healthcare licenses is just the beginning. It’s time to leverage provider license, credential, and eligibility insights across teams to ensure you’re onboarding, trusting, and contracting with the best providers. Feel confident that provider credentials are valid, in good standing, and monitored for renewals in real-time.
Daily Primary Source Verification
With more than 80 healthcare disciplines and thousands of primary sources to monitor, workflow automation is essential. We’ve combined advanced monitoring tools and a dedicated customer support team to help keep you covered. Get primary source documentation of every license and certification at a customized frequency for every source, as frequently as every day.
Design Custom Requirements for Every Job Title
Ensure your professionals have the credentials, endorsements, and education your organization requires for hiring, privileging, and claims processing. Based on the rules you set, our products will confirm each employee or provider meets the required licensing and certification standards for the job or billing codes you set up. If something changes and affects their eligibility, you’ll know right away.
Stay Compliant and Reduce Risk
Achieve continuous compliance and be confident that every employee or provider is properly licensed and credentialed at any point during a critical workflow. Ensure you are meeting accreditation and audit requirements from The Joint Commission, NCQA, URAC, CARF, and more. ProviderTrust enables you to prove compliance with contractual requirements and organizational policies as well as CMS, OIG, and state Medicaid agencies.
Integrate our primary source license verification results with your HRIS, credentialing software, EHR, CRM, claims processing system, or other data warehouse. Our solutions bring you the best data to utilize via our product experiences or in the systems you already use via API or SFTP. Drive operational efficiency and never miss a renewal date with custom alerts and communication to deliver the right information to the right person at the right time.
Automated Notifications for Every Provider
Personalize communication of expiring licenses, certifications, and registrations and automate alerts to every individual provider via email and text message to ensure speed-to-action. Put your providers to work in helping to improve organizational compliance.
5 Questions for Evaluating License Monitoring Efficiency
Want to learn more? Explore the Interactive License Monitoring Solution Guide.
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License Monitoring FAQs
There are well over 80 healthcare disciplines that require a license or certification to perform care. Each provider’s license or certification must be verified and updated according to each professional state licensing board or authorized board of issuance. Healthcare organizations must confirm that each license is up-to-date and matches the provider’s identity.
Healthcare license and certification monitoring can be complicated for most healthcare organizations because of the amount of data, disparity in license board data, frequency of license updates, and keeping up with so many individual statuses. Healthcare license and certification monitoring requires help from a third-party vendor like ProviderTrust.
Healthcare licenses and certifications are issued by a variety of governing authorities or boards according to each discipline. Licensed providers can range from certified nursing assistants, medical assistants, physicians, pharmacists, and many more. When it comes to types of providers who require certification, these can range from ambulance transport services, dietitians, speech pathologists, and more.
Primary source verification involves verification from the original source of a specific credential (education, training, licensure) to determine the accuracy of the qualifications of an individual healthcare practitioner.
The state licensing board is considered a primary source for licensed providers, and will be the single place to verify and monitor healthcare licenses for renewal, standing, and in some cases, any disciplinary actions taken against the individual and their license for a specific state. In order to conduct effective compliance monitoring of licenses, validation at appropriate times is essential. Healthcare organizations must ensure they are survey or audit-ready for any provider’s credentials at any given time.
Be sure to find out how each state lists the different licenses and which website holds the license database for records you may be referencing. Some states have numerous lists for each healthcare license, and some include all the licenses in just one database. This process can become very time consuming if done manually, and leaves organizations vulnerable to human error and potential risk.