Ensuring quality, and compliance at every turn

We leverage integrations with a wide variety of external sites, such as DEA/CDS lists, board certification sites like ABMS and AOA, OIG, GSA, Medicare Opt-Out, NPDB via continuous query, and FSMB, to perform monitoring. Monitoring includes:
-Expirables monitoring (State License, DEA, Board Certifications)

-Sancations Monitoring including Federal (GSA, SAM, OIG, MOO) and state sanctions

-NPDB Monitoring to flag malpractice claims against a provider.

When expired DEAs, actions, sanctions, or exclusions are found, that information is flagged within our system. For license monitoring, we have created direct connections to all state license boards for MDs, DOs, PAs, Nurses, Mental Health Providers, and Dental Providers, and therefore automatically verify provider licenses for the universe of those providers.

Our system also automatically flags a provider if they're found on a state licensure action list. For other license types for which we have not yet attributed provider licenses and automated the process, our team or a client will access those state license boards manually, and will upload relevant reports for any providers that are on any lists. We check education via state license board in states that perform these checks, and for those that don’t we go directly to the place of education for verification.

We monitor providers on a monthly basis. This aligns with the monthly cadence at which our API intergrations to primary sources are refereshed.

Automated provider monitoring systems help healthcare organizations stay compliant with accreditation standards, regulations, and payer requirements. By proactively tracking provider credentials and compliance-related information, they reduce the risk of non-compliance and penalties. CertifyOS ensures compliance by monitoring provider credentials, licenses, certifications, and regulatory adherence. It simplifies tracking expiration dates, renewals, and compliance documentation for organizations.

The platform provides customizable reporting features, allowing organizations to generate detailed reports on provider monitoring activities. These reports facilitate data-driven decision-making and support audits and accreditations.

Our clients have access to all monitoring incidents once a provider enrolled into the monitoring service on the CertifyOS platofrm. Clients have the ability to easily filter for new monitoring incidents only, in order to easily track any new flags on their providers.