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Case Study

Adverse Action Monitoring

Proactive alerts that protect your organization’s reputation and revenue, before damage occurs

The Problem

The client did not have a proactive way to alert credentialing staff when adverse actions, sanctions, or negative reports that might affect the organization’s reputation appear. Their existing credentialing solution handled day-to-day activities well but was missing this key piece.

The Solution

Naviquis deployed a standalone version of the Adverse Action monitoring engine from its credentialing solution and integrated it with the client’s other key systems. The engine continuously monitors federal and state data sources to identify adverse actions, sanctions, or reputational risks before they become compliance or billing issues.

The intelligent alerting engine notifies stakeholders the moment a provider’s record changes, giving organizations the insight to act before damage occurs.

What We Monitor

  • CMS, DEA, and OIG databases
  • State licensure boards and disciplinary actions
  • Legal filings and criminal records
  • Media and public reports impacting reputation

The result is no surprises, just proactive alerts that protect your organization’s reputation and revenue.

Ready to monitor risk before it becomes a compliance issue?

Connect with our team to discuss how Naviquis can add continuous adverse action monitoring to your existing credentialing and provider systems.

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