Here’s my secret insight as a leader with 25 years of experience in healthcare technology: it’s the human connection that makes technology valuable. Every day we sit at our desks, separated from care delivery, using computer screens to oversee provider credentialing. But we know we have an important role to play in ensuring patient safety and quality healthcare experiences. We are united in this common purpose.
The Affordable Care Act (ACA) set forth a number of requirements regarding how state Medicaid and Medicare services are delivered. Chief among these mandates was a shift in provider eligibility revalidation requirements, which now specify that all providers, depending on their provider type, must be re-enrolled every three to five years.
It's packed with valuable insights to make governance, risk, and compliance the simplest part of your day.
It’s not every day that laws are passed unanimously, but that’s exactly what the Arizona legislature did when it passed HB2322. Requiring healthcare insurers to speed up the process of credentialing new providers into their networks, this bill is a welcome change.
Properly managing vendors is critical to ensuring the safety of your patients and avoiding risk to your healthcare facility. Having a system in place to make sure that vendors are compliant and meet your facilities standards is essential to vendor management success.
Why Primary Source Verification is Critical When considering a new physician for your staff, ensuring the accuracy of the information and documentation they provide during the credentialing process is critical. A typical practitioner applying for a staff position needs to provide a considerable amount of information – licensure, certifications, education details, references, etc – and it's incumbent upon the credentialing professional to ensure every item and statement is as it appears to be.
Few would argue the fact that hospitals have a responsibility to ensure their medical staff has the competence and capability to provide quality patient care. To do this, hospitals are to adhere to complicated and often lengthy credentialing and privileging processes to screen applicants, verify their suitability to practice, and determine which procedures they are competent to perform.