Surgery Partners and its affiliates value the partnerships we have with vendors across our network. The goods and services our partners 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 partner with VendorProof, a ProviderTrust solution.
We ask each vendor or service provider to enroll in VendorProof and submit key business information.
Vendors and service providers register with VendorProof and enter relevant business information through the easy-to-use portal. VendorProof then monitors the vendor, checking for compliance and risk-related issues. All vendors are asked to enroll, regardless of the service provided (e.g., cleaning service, vehicle maintenance, decorating service, any healthcare service, etc.).
ProviderTrust: Our Vendor Compliance Partner
ProviderTrust is the market leader in the data science of healthcare population monitoring and is on a mission to make healthcare smarter and safer by delivering better data to health systems and health plans.
VendorProof: Vendor Portal
VendorProof is a ProviderTrust solution designed to help healthcare organizations maintain regulatory compliance and ensure accurate vendor information across the healthcare continuum.
All vendors are to enter and update pertinent information through the VendorProof portal. Enrollment information includes:
VendorProof will perform regular checks for OIG Exclusions, Medicare Fraud, IRS issues, and other risk-related issues, including Medicare Advantage Compliance Program requirements.
The VendorProof Marketplace
When vendors complete enrollment in VendorProof, they have the option to create a vendor profile for the VendorProof Marketplace. The Marketplace serves to promote preferred vendors to healthcare organizations.
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 on the VendorProof portal. If you need to submit payment by check, complete the invoice request form on the VendorProof payment page.
An OIG exclusion refers to an individual or business that has been flagged as a risk to federal healthcare programs and their beneficiaries: healthcare service providers.
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).