ProviderTrust Achieves 2 Major Milestones-HITRUST Certification and Monitoring of 10 Million Healthcare Individuals and Entities
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Industry ~ ProviderTrust, the leading data and technology company in the healthcare industry, has reached a significant milestone by monitoring over 10 million individuals and entities on an ongoing basis. This achievement highlights the organization's commitment to protecting Medicare and Medicaid dollars from fraud, waste, and abuse, in collaboration with its nearly 1,000 healthcare client organizations.

According to Christopher Redhage, co-founder and managing partner of ProviderTrust, their mission has always been to create safer healthcare experiences for everyone. This milestone is a testament to their unwavering dedication towards this goal. Redhage also emphasized the crucial role of healthcare compliance in the success of the entire ecosystem and expressed pride in partnering with clients to safeguard their data and prevent instances of fraud.

Despite facing numerous challenges in the past decade such as increased regulations, a mobile workforce, security risks, and competing technologies, ProviderTrust has built the most accurate dataset for exclusion monitoring and primary source verification. Their technology prioritizes data integrity by connecting client data with various sources using unique identifiers to identify any potential bad actors within employee, physician, contract, and vendor populations. This approach has proven successful as 51% of exclusions found by ProviderTrust are only identified through their proprietary data strategy.

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In addition to their advanced technology, ProviderTrust also boasts a team of primary source experts who provide strategic oversight to ensure reliable results. This combination of technology and expertise enables them to catch and verify issues that others may miss.

Another significant achievement for ProviderTrust was earning HITRUST CSF Risk-based certification in February 2024. This certification is considered the most comprehensive and robust issued by HITRUST and demonstrates the organization's commitment to maintaining high levels of data security while following industry-leading practices.

Donna Thiel, Chief Compliance Officer at ProviderTrust, stated that reliability and accuracy are at the core of their operations along with securing client data. She expressed pride in earning this certification as it confirms their industry-leading framework for protecting the confidentiality, integrity, and availability of data.

For those seeking automated solutions for federal and state exclusion monitoring and primary source verifications, ProviderTrust offers a range of services for provider or payer organizations. More information can be found on their website at providertrust.com.
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