Compliance Solutions for Care Delivery Organizations

Data Built for Care Delivery Organizations

Care delivery organizations manage some of the most complex requirements in healthcare: verifying and monitoring employees, providers, and vendors across departments that don’t always share the same systems. ProviderTrust gives compliance, credentialing, and workforce data teams a single, continuously verified dataset, so every department works from the same accurate picture instead of piecing it together on their own.

WHY IT MATTERS

Why compliance gets harder to manage as you grow

Compliance, HR, and procurement teams often work from different systems, update at different schedules, and sometimes use entirely different vendors, even though they’re all responsible for verifying the same underlying population: your employees, your provider network, and your vendors. In a recent industry survey, 92% of healthcare executives said their organization has actively sought to consolidate this kind of compliance data, yet only 23% were extremely confident in the quality of what they had.

That gap shows up as risk. A license that lapses between credentialing cycles, a vendor that slips through onboarding without a full compliance check, or an exclusion that hits a state list before it ever reaches a federal one, any of these can turn into a compliance issue that a single annual check won’t catch in time.

Types of care delivery organizations

Built for how you actually operate

ProviderTrust serves the following types of care delivery organizations:

  • Hospitals, health systems, and physician groups
  • Ambulatory and outpatient care organizations
  • Senior living and long-term care communities
  • Home health and hospice agencies
  • Behavioral health and specialty care organizations
  • Federally qualified health centers and community clinics
  • Digital health and telehealth providers

USE CASES

How different teams inside care delivery organizations use ProviderTrust

Provider Compliance

Compliance teams use ProviderTrust for continuous OIG and state Medicaid exclusion monitoring across your entire population, not a periodic check run once or twice a year. Monitoring turns on the moment you onboard and never stops, so a new exclusion, license lapse, or disciplinary action surfaces within days, not at the next credentialing cycle.

Data elements monitored for this use case include OIG LEIE and SAM/GSA exclusion lists, all state Medicaid exclusion and sanction lists, state licensing board actions, DEA and CDS registration status, and board certification status.

Compliance Data

Human Resources

HR teams use ProviderTrust to maintain ongoing visibility into workforce compliance without adding manual work to an already full plate. Verification runs automatically and integrates directly with the HRIS platforms your team already uses, so results show up where your team is already working instead of in a separate tool to check.

Data elements monitored for this use case include license and credential status, exclusion and sanction status, and credential expiration tracking, all tied to each employee’s record and delivered into your existing HRIS workflow.

Workforce Data

Procurement

Procurement teams use ProviderTrust to bring the same rigor to vendor compliance that other teams apply to employees and providers. That includes vendor entities, vendor owners, and vendor employees, not just the company name on the contract, so a compliance issue tied to an individual doesn’t slip through because the entity itself checked out clean.

Data elements monitored for this use case include vendor entity and owner exclusion status, vendor employee screening, and compliance status integrated into your payment workflows, so a payment can be flagged before it goes out to a vendor that no longer meets requirements.

Our Data Strategy

Better decisions start with
better data.

WHY PROVIDERTRUST

Why care delivery organizations choose ProviderTrust

  • One connected dataset across compliance, HR, and procurement, instead of a different, lesser dataset for each team
  • Continuous monitoring that catches gaps between credentialing cycles, not just at renewal
  • Data delivered via API, HRIS integration, or the Monitoring and Verification Platform, whichever fits your existing workflows
  • A dedicated data oversight team behind every flagged result, at no extra cost
  • HITRUST CSF-certified (via the r2 assessment), NCQA Credentialing Certification, and SOC 2 Type II compliant

Built to fit your workflow

Every organization approaches credentialing differently. ProviderTrust’s healthcare credentialing solutions deliver data where you need it, integrated directly into your workflows or accessible through a centralized platform.

  • Deliver data directly into your existing systems via API
  • Access everything through a single, centralized platform
  • Reduce manual verification effort across credentialing teams
  • Scale with your provider network as it grows

LET’S TALK

See how ProviderTrust can work for your organization.