healthcare compliance and credentialing

symplr Blog

Articles to make governance, risk, & compliance the simplest part of your day.

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New Arizona Law Speeds Up Payor Enrollment

New Arizona Law Speeds Up Payor Enrollment

By: Susan Ward
June 1st, 2018

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.

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vendor credentialing | Vendor Credentialing Services

Managing Vendors to Ensure Compliance and Proper Credentialing: An Interview with Philip Bateman, Woman’s Hospital Baton Rouge

By: symplr
May 29th, 2018

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.

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symplyr top blog posts of 2017

Top 10 Posts of 2017

It's packed with valuable insights to make governance, risk, and compliance the simplest part of your day.

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Provider Credentialing | Healthcare Provider Credentialing | Provider Privileging | Provider Management

The Importance of Primary Source Verification in Provider Credentialing

By: Jan Laws
May 15th, 2018

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.

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Provider Credentialing | Healthcare Provider Credentialing | Provider Privileging | Provider Management

The Federal Regulations Affecting Credentialing and Privileging

By: Jan Laws
May 7th, 2018

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.

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Payor Enrollment | Data

Does your payer enrollment data need a spring cleaning?

By: Cyndi Wiltshire
April 12th, 2018

With spring in the air, it’s time to embrace change and organization. As we all know, provider credentialing tends to generate lots of data and documentation. How you manage your data can be the difference between success and failure. Mismanaged data may cause costly downstream consequences of application delays or even rejections. Clutter creates stress and anxiety, whether it be in your mind or your work space. When you’re surrounded with disorganized stacks of paper it is easy to allow your mind to wander and lose focus. Next thing you know, valuable hours of productivity have disappeared, you are working harder than ever, still falling behind and missing targeted deadlines (increased days in A/R or even worse, the dreaded claims write-offs).  Some helpful ways to minimize the clutter and create an environment to succeed at provider credentialing:

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Provider Credentialing | SkillSurvey | Provider Management | Peer Referencing

Streamline and Simplify Credentialing with Digital Peer Referencing

By: symplr
April 10th, 2018

One of the most effective ways you can compete with other healthcare facilities is to hire the best, brightest doctors. That’s why peer referencing, a key component of physician credentialing, is so important—you want confirmation from an applicant’s peers that you’re making the right hiring decision. 

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