Exclusion List Monitoring by ProviderTrust automates continuous screening of providers, vendors, and employees against federal and state exclusion lists. It enhances primary source data for unmatched accuracy, helping healthcare organizations prevent fraud, waste, and abuse while ensuring compliance and protecting patient safety.
Vendor
ProviderTrust
Company Website
Exclusion List Monitoring
ProviderTrust’s Exclusion List Monitoring solution offers automated, ongoing screening of individuals and entities against federal and state exclusion lists. It ensures healthcare organizations remain compliant by identifying excluded providers, vendors, and employees in real time. The platform enhances primary source data with proprietary identifiers to deliver unmatched accuracy and speed, helping prevent fraud, waste, and abuse.
Features
- Continuous monitoring of OIG LEIE, SAM.gov, CMS Preclusion List, OFAC SDN, and state Medicaid lists
- Enhanced primary source data with unique identifiers
- Exact-match results with minimal false positives
- Automated alerts for new exclusions and changes
- Audit-ready documentation and reporting
- Coverage for providers, vendors, and employees
- NCQA-certified exclusion monitoring workflows
Capabilities
- Identifies excluded individuals and entities across all monitored sources
- Feeds verified exclusion data into systems via API or SFTP
- Supports compliance, credentialing, and procurement workflows
- Scales across large healthcare networks and vendor ecosystems
- Improves data integrity and operational transparency
Benefits
- Reduces risk of fraud, waste, and abuse
- Ensures regulatory compliance and audit readiness
- Minimizes manual verification and tracking tasks
- Protects patient safety and funding integrity
- Improves efficiency across compliance and operations teams