The Problem
Client did not have a proactive means of alerting credentialing staff when adverse actions, sanctions, or negative reports which might affect the organizations reputation appear. Their existing credentialing solution provided satisfactory results for their day-to-day activities but was missing this key component.
The Solution
We deployed a standalone version of the Adverse Action monitoring engine from our credentialing solution and integrated it with their other key systems. The solution continuously monitored federal and state data sources to identify adverse actions, sanctions, or reputational risks before they become compliance or billing issues.
Our intelligent alerting engine proactively notifies stakeholders when a provider’s record changes — giving organizations the insight to act before damage occurs.
What We Monitor
- CMS, DEA, and OIG databases
- State licensure boards and disciplinary actions
- Legal filings and criminal records
- Media and public reports impacting reputation
The result is no surprises — just proactive alerts that protect your organization’s reputation and revenue.