Compliance Monitoring
One lapsed license can cost $50,000. Nothing lapses here.
One missed renewal. One excluded provider nobody caught. That is all it takes for a fine, an audit, or a payer pulling your contract. PayerReady watches licenses, CAQH attestations, certifications, and OIG and SAM exclusions for every provider, and alerts you while there is still time to act.
OIG checked, CAQH watched
Every provider scored for readiness
Deadlines surface before they hurt
The Expiration Alerts module tracks every license, DEA registration, certification, and attestation date, and flags each one while there is still time to renew calmly.
The watch never blinks
Every credential on your roster sits on this radar. The sweep passes daily. Anything drifting toward a deadline lights up long before it can hurt you.
What a single lapse costs
While a credential sits lapsed
- Claims deny quietly, and the denials pile up unworked
- The payer can suspend or terminate the contract
- Civil fines can reach \$50,000 per violation
- Every day of the gap is revenue you never rebill
On the PayerReady watchlist
- Expiration Alerts fire at 90, 60, and 30 days, every time
- Provider Compliance scores each provider's readiness daily
- OIG and SAM exclusion lists screened continuously
- Your specialist files renewals while there is still slack
Coverage gaps on watched rosters: zero is the whole point.
Everything on the watchlist
License monitoring
State licenses tracked with alerts long before every expiration.
DEA and certifications
Registrations and board certifications on the same watchlist.
CAQH re-attestation
120 day cycles handled so profiles never go stale.
OIG and SAM checks
Exclusion lists screened continuously and flagged the same day.
Payer recredentialing
Recredentialing dates tracked per payer so participation never lapses.
Audit ready records
Every credential versioned with a clean paper trail.
Compliance questions, answered
Everything that has a date on it. State medical licenses, DEA registrations, controlled substance licenses, board certifications, malpractice insurance, and CAQH attestations. The Expirables tab on your dashboard shows all upcoming deadlines across your roster, color-coded by urgency. Red means act now. Yellow means start planning.
You get alerts at 90, 60, and 30 days before expiration, by email and on your dashboard. That gives your team three separate chances to act. For critical items like DEA registrations, escalation alerts kick in so nothing gets buried during a busy week.
Ongoing. Your entire roster gets screened against the OIG exclusion list and SAM.gov on a regular basis, not just when someone is hired. If a provider lands on an exclusion list, you find out fast. That matters because billing for services from an excluded provider can trigger False Claims Act penalties.
Everything is connected. When a license gets renewed and updated in a provider's profile, that new date flows into all compliance checks and payer records automatically. No re-entering data. No wondering if the spreadsheet matches the filing cabinet. One update, everywhere.
Billing stops. Claims submitted during a gap period get denied, and you may have to pay back what you already collected. Fines range from $1,000 to $50,000+ depending on the state and credential type. Some cases lead to exclusion from federal programs entirely. That's why the 90/60/30-day alerts exist, so you never get close to that situation.
Every credential, renewal, and compliance check is timestamped and stored digitally. When an auditor asks for documentation, you pull a report filtered by provider, date, or credential type. It takes seconds. No boxes of paper, no scrambling to find that one certificate someone scanned three years ago.
That's what the Organization Admin Dashboard is for. You see which providers have expirations coming up, which renewals are in progress, and who's fully current, all on one screen. You can also assign renewal tasks directly to individual providers so there's clear accountability for who needs to submit what.
A spreadsheet only knows what someone remembered to type into it. It doesn't send alerts. It doesn't check exclusion lists. It doesn't generate audit reports. PayerReady watches deadlines, sends multi-stage alerts, runs monthly exclusion screenings, and keeps audit-ready records, without anyone on your staff having to remember to do it manually.