Ardent Health Services values the relationships we have with various businesses at each of our facilities. The goods and services our vendors provide allow us to deliver quality care to the communities we serve. As a trusted healthcare provider, we must ensure all our vendors meet certain federal compliance requirements.
To streamline the process of verifying our vendor information and monitoring federal and state databases to screen for exclusions, we have launched VendorProof, a ProviderTrust solution.
We require each vendor to enroll in VendorProof and submit key business information regardless of the service provided (e.g., cleaning service, vehicle maintenance, decorating service, any healthcare service, etc.).
All vendors are required to enter and update pertinent information through the VendorProof portal. Enrollment information includes:
- Business and contact information
- Federal tax ID#
- Ownership information
- Five-question risk survey
- Medicare Advantage attestation (if applicable)
- Current W-9
ProviderTrust will perform regular checks for OIG Exclusions, Medicare Fraud, IRS issues, and other risk-related issues, including Medicare Advantage Compliance Program requirements.
All vendors are expected to complete the enrollment process and pay the annual fee to ProviderTrust, unless an exception has been granted. Payments can be submitted via credit card or ACH payment on the VendorProof portal.
An OIG exclusion refers to an individual or business that has been flagged as a risk to federal healthcare programs and their beneficiaries.
OIG Exclusions require healthcare organizations to monitor employees along with the vendors who provide goods and services to the organization. According to the OIG, an excluded individual or entity may not provide services that are payable by federal healthcare program dollars.
Exclusions can occur for a variety of reasons, including Medicare fraud. To learn more about OIG exclusions, read this article.
OIG (Office of Inspector General) has the authority to exclude individuals and entities from federally funded healthcare programs pursuant to section 1128 of the Social Security Act, and from Medicare and state health care programs under section 1156 of the SSA.
OIG maintains a list of all currently excluded individuals and entities called the List of Excluded Individuals/Entities (LEIE). Anyone who hires an individual or entity on the LEIE may be subject to civil monetary penalties (CMP).