Know Your Provider – Screening
KYP Screening makes screening of healthcare providers a completely "paperless" exercise, while automating at least 70% of the activities and complying with applicable ACA Part 455 Subpart E requirements.
Delivers unprecedented value over and above ACA compliance
- Delivers complete compliance with ACA Part 455 Subpart E requirements
- Facilitates better decision making through system intelligence and comprehensive provider information
- Minimizes manual effort and the resulting errors
- Reduces process (screening) turnaround times by up to 80%
- Minimizes risk by identifying thousands of non-compliant providers in Medicare and Medicaid
Key Capabilities
- Entity Resolution Uses complex matching algorithm to accurately identify provider entity against 15000+ best-of-breed data sources
- Verification per ACA Automates identity, eligibility and watchlist checks for the provider and related parties
- Linking and Provider 360 Provides information about affiliations, discovers relationships, and maintains historical details
- Provider Intelligence Computes risk score per application and generates “red flags” for potential issues
- Configurable Workflow Automates workflows for review of different types of provider applications
- Research, review and resolve One integrated console to complete entire research and investigation