Healthcare compliance solutions

Compliance Solutions Built on Data You Can Trust

Compliance can’t run on guesswork, and it shouldn’t run on outdated spreadsheets, either. ProviderTrust’s healthcare compliance solutions give your team verified, exact-match exclusion, sanctions, and disciplinary action data, so you can mitigate risk early, act with confidence, and keep your organization compliant. Whether you’re screening new hires, monitoring your provider population, or trying to make sense of data scattered across a dozen sources, we built these solutions to meet you where you are.

exclusions discovered by ProviderTrust

people and entities monitored daily

of exclusions found only with our enhanced primary source data

OVERVIEW

Why data is the foundation of a strong healthcare compliance program

Every healthcare compliance program needs the same thing to succeed: data that’s timely, accurate, and easy to act on. Compliance, human resources, operations, and IT teams manage large, constantly changing populations of providers, employees, and vendors, and even one missed exclusion or expired license can create ripple effects across patient safety, revenue, and your organization’s reputation.

For most healthcare organizations, compliance data touches every population you’re responsible for, and all of it has to hold up when a regulator or client asks for documentation:

  • Screening providers, employees, and vendors against exclusion and sanction lists before they onboard
  • Monitoring your entire population continuously for new exclusions, sanctions, or disciplinary actions once they’re active

ProviderTrust helps healthcare organizations manage their entire compliance program from a single, connected data source.

WHY IT MATTERS

Compliance data solutions built for the realities of healthcare

Healthcare compliance teams manage some of the largest, most dynamic populations of any industry, and manual processes and single-purpose screening tools make it impossible to keep up. ProviderTrust brings critical compliance data together into a single, reliable experience, using a proprietary data enrichment strategy that connects verified data from primary sources with unique identifiers to identify matches that other vendors may miss.

That approach makes a measurable difference. Of the exclusions ProviderTrust identifies, 44% are found only with our enhanced primary source data, matches that would otherwise go unnoticed. Today, we monitor more than 14 million individuals and entities on an ongoing basis, helping compliance teams reduce manual work, improve consistency, and make confident decisions at scale.

For most healthcare organizations, the challenge isn’t a lack of effort. It’s the reality of managing compliance across disconnected systems and manual processes. That often looks like:

  • Screening tools that check one database at a time instead of the full picture
  • Manual cross-referencing across OIG LEIE, SAM.gov, state Medicaid, and other exclusion lists
  • Inconsistent match logic that creates false positives, or worse, misses a true match
  • Limited visibility into risk across providers, employees, and vendors, all at once
  • Difficulty proving audit-readiness when a regulator or client asks for documentation

OUR SERVICES

Explore our healthcare compliance data solutions

Compliance data comes to life across the different stages of your screening and monitoring process.

Exclusion Screening and Sanctions Checks

Run accurate healthcare sanctions checks and healthcare exclusion screening to identify risk before it becomes a problem. ProviderTrust’s exact-match screening improves your workflow and reduces manual review, so your team can move through screening with confidence instead of second-guessing results.

Exclusion and Sanction Checks

Automated Exclusion Monitoring

Screening is only the beginning. ProviderTrust’s automated exclusion monitoring continuously tracks your population for new exclusions, sanctions, and disciplinary actions, so nothing slips through the cracks.

Automated Exclusion Monitoring

Built to fit your workflow

ProviderTrust delivers flexible data compliance solutions that integrate into your existing systems or can be accessed through a centralized platform experience.

  • Deliver verified compliance data directly into your existing systems
  • Access screening and monitoring results through a single, centralized platform
  • Support compliance teams with workflows that scale as your population grows
  • Reduce friction between compliance, human resources, and provider operations teams

A PARTNER, NOT JUST A DATA VENDOR

Why organizations choose ProviderTrust

Every organization works differently, and your compliance data should adapt to how your team already operates, not the other way around. ProviderTrust helps healthcare organizations turn compliance data into action, not just another report to file away.

  • More accurate, enriched compliance data that catches matches that other solutions miss
  • Less manual effort across screening and ongoing monitoring
  • Better visibility into risk across your entire population, from employees to vendors
  • HITRUST-certified, NCQA-certified, and SOC 2 Type II compliant solutions that your security team will appreciate
  • A dedicated Client Success team, available whenever your team needs support

FREQUENTLY ASKED QUESTIONS

FAQs about our healthcare compliance solutions

Healthcare compliance solutions help organizations screen and monitor employees, providers, and vendors for exclusions, sanctions, disciplinary actions, and license issues that could affect patient safety, revenue, or regulatory standing.

Accurate compliance data helps healthcare organizations detect risks early, avoid improper payments associated with excluded individuals or entities, and demonstrate audit-readiness to regulators and clients.

ProviderTrust monitors data on OIG and state Medicaid exclusions, sanctions and disciplinary actions, license expirations and suspensions, and other primary-source updates across employees, providers, and vendors.

ProviderTrust enriches exclusion and sanction data with unique identifiers, such as NPIs, which allows us to catch matches that other data sources miss and return exact-match results.

Compliance, human resources, and provider operations teams within health systems, payers, and other healthcare organizations use ProviderTrust to screen and monitor their populations.

LET’S TALK

See how ProviderTrust can work for your organization.