The complexities around credentialing, privileging, and provider enrollment are increasing every day. Over the past year, the surge in emergency patients associated with COVID19 and the skyrocketing demand for telehealth services, have made it abundantly clear that rapidly onboarding, credentialing, privileging, and enrolling providers in payer plans is more critical than ever. Accelerating this process is no easy feat given the fact that every payer and regulatory agency has its own unique set of requirements.
In the past, it was possible to manage credentialing, privileging, and provider enrollment data with limited resources and with separate systems and processes. Today, payers and regulatory agencies expect healthcare organizations to go further – driving a greater demand for data integrity.
Tracking and researching regulatory requirements across various bodies and negotiating contracts with individual payers can eat up a lot of time. Inaccuracies can lead to costly compliance issues. The good news is that:
Standardizing Your Data
Standardizing your data collection of the following information can save countless hours and dollars for your organization:
This can certainly be a daunting task. The process involves making sure that each data type has consistent content and a similar format. If there is inconsistency across your data fields for each provider, that data will not be easily reportable or useful. And it definitely won’t make automating your entire provider lifecycle possible.
Making Your Data Work for You
CredentialStream’s VerityStream Validated Providers (VVP) offers pre-populated, validated provider data that reduces the overhead required for repetitive research tasks and expedites turnaround times. With VVP, a single provider record can now be used to support all credentialing, privileging and enrollment operations, removing the need for multiple spreadsheets and checklists. This not only improves data integrity, but also speeds up your processes. And, more streamlined workflow management promotes compliance through the generation of reminders related to requirements from the growing number of regulatory agencies overseeing your performance.
Migrating to CredentialStream offers a path to transforming your credentialing, privileging, and enrollment operations with standardized, pre-validated data to accelerate onboarding times, improve the provider experience, and meet the demands imposed by ever-changing healthcare regulations.
Contact your VerityStream Sales Representative to learn more about our data standardization and migration paths.</pthankfully,>
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