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.
Is your license verification process holding you back?
Daily Primary Source Verification
A lot can happen to a healthcare license between credentialing cycles. Keep your organization running smoothly and eliminate surprises with up-to-daily insight into the status of every license and certification your employees or providers hold. We’ve combined advanced monitoring tools and a dedicated customer support team to deliver the best experience. Get primary source documentation of every license and certification, track expirations, and send automated alerts to clinicians.
Design Credential 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.
Improve Compliance 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.
Seamless Integrations with Your Current Systems
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.
5 Questions for Evaluating License Monitoring Efficiency
Want to keep learning? Explore the Interactive License Monitoring Solution Guide.
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OIG exclusion list monitoring is critical for healthcare organizations. But sometimes, excluded providers can go undetected for years. In this post, we explore how our data enrichment strategy caught a previously undetected exclusion that impressed the OIG enough for them to drop an investigation against our client.
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In this post, we’ll explain why the low-quality (and risky!) OIG exclusion matches that you’ll find from other vendors can end up costing your organization.
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.