Vendor Compliance
Benefits of VendorProof to Owensboro Health
✔ Vendor data is validated and updated on an ongoing basis
✔ OIG and state exclusion/sanction screening process benefits from clean, complete, and validated data
✔ Improved data stewardship via proactive identification of Business Associations within vendor population
✔ Fulfillment of Medicare Advantage Plan Requirements
✔ Ownership data captured and leveraged to identify conflicts of interest, entity ownership, etc.
✔ Increased Risk Management presence in promoting documentation requirements across all vendor types
Vendor Information
Owensboro Health values the partnerships we have with vendors across our network. The goods and services of our partners allow us to deliver quality care and improve the health of the communities we serve. As a trusted healthcare provider, we must ensure all our vendors meet certain federal compliance requirements.
In taking steps to reinforce our mutual commitment to vendor compliance, OH has streamlined the process of verifying vendor information; through our partnership with VendorProof, a ProviderTrust solution, we will now conduct automatic compliance monitoring to ensure companies paid for a good or service do not appear on any federal or state exclusion list.
We require each vendor to enroll in VendorProof and submit key business information.
Vendors register with VendorProof and enter relevant business information through our easy-to-use portal. VendorProof then monitors the vendor, checking for compliance and risk-related issues. All vendors are required 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.
Enrollment Process
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
- Inherent risk survey
- OH IT Cybersecurity Review for all Business Associates/Covered Data Recipients
- Current W-9
- Certificate of Insurance (COI)
VendorProof will perform regular checks for OIG Exclusions, Medicare Fraud, IRS issues, and other risk-related issues, including Medicare Advantage Compliance Program requirements.
Data Security
As part of our commitment to proactive data stewardship, Owensboro Health will utilize ProviderTrust to direct all Information Technology vendors, as well as Business Associates, to a series of cybersecurity screenings, to be conducted by our partner company, Optum and their OH IT Support Team. VendorProof will work with our Optum CS Team to direct the applicable vendor population to the additional required cybersecurity screening.
Risk Management & Quality Measures Tracking
Including aspects of Owensboro Health’s operational Risk Management and Quality Measures review tracking serves to further integrate our contracting compliance standards with our everyday operational standards.
Marketplace
When vendors complete VendorProof enrollment, they have the option to create a vendor profile for the VendorProof Marketplace. The Marketplace serves to promote compliant vendors to healthcare organizations.
Enrollment Fee
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 on the VendorProof portal. If you need to submit payment by check, complete the invoice request form on the VendorProof payment page.
What options does a vendor have for fee-exemptions* from Owensboro Health?
If targeted, the Vendor is required to enroll, but not all vendors are required to pay a fee. Please direct your vendor contact to request a fee-exemption from the VendorProof Support directly.
*Fee-Exemption requests may include, but are not limited to, vendor populations that are: Patient Critical; Sponsored Marketing; Community Engagement; Provider-Based; Foundation; Local Community; Under Spend Limit; Rent/Real Estate; Government Entities; Legal; Utilities; Monitor Only, and Sole-Proprietorships.
Please request an exemption if you believe an organization qualifies via the above or should qualify via another exemption category.
OIG Exclusions
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. As a nonprofit healthcare organization, Owensboro Health is required by the Office of Inspector General (OIG) for the U.S. Department of Health and Human Services (HHS) to ensure companies paid for a good or service do not appear on any federal or state exclusion list.
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.
Exclusion Authorities
OIG has the authority to exclude individuals and entities from Federally funded healthcare programs pursuant to section 1128 of the Social Security Act (Act) (and from Medicare and State health care programs under section 1156 of the Act).
OIG maintains a list of all currently excluded individuals and entities called the List of Excluded Individuals/Entities (LEIE). Any healthcare organization who hires an individual or entity on the LEIE may be subject to civil monetary penalties (CMP).