Medical credentialing is an essential process for evaluating a healthcare professional's qualifications, competency, and practice history. By verifying a practitioner's education, completed training, residency, licensure, and verification of board-issued certifications, you are not just confirming their competency, you are offering assurance to your payors that each individual is suitable for practice and reimbursement. In short – you are endorsing them as the qualified individuals who will be representing your healthcare facility or organization.
To become eligible for reimbursement from commercial payors and government programs (such as Medicare and Medicaid), each provider must complete the process of application, submission, and verification of documentation before receiving committee or managerial approval. And while it may seem like a relatively simple and straight-forward process, each entity has their own criteria for medical credentialing. This comes with unique guidelines, paperwork, and standards of approval.
With all of this complexity, it is essential to create a streamlined credentialing process in order to protect your organization, and ensure that your staff is properly certified. Choosing an appropriate credentialing software can save you time and money – and help you organize, process, and effectively track all of this information, for ongoing review and accreditation.
Why focus on streamlined credentialing? Though it may seem like a routine administration exercise, a poor credentialing process can cause serious problems for your organization.
If you want to modernize your credentialing department, it’s important to scale to your growing organization, automate your manual processes, and create departmental transparency. By enlisting the assistance of a web-based credentialing software, you'll free your administrative staff of this extensive burden, allowing them to devote more time, energy, and personalized attention to more immediate tasks.
At symplr, credentialing is our primary focus. We offer complete credentialing solutions, including robust credentialing, privileging, and enrollment software, designed to meet the unique needs of your organization. We stay up-to-date on issues surrounding legal compliance, industry trends, and regulatory changes – so you can focus your attention on serving patients.
We are the vendor of choice for hundreds of hospitals nationwide, and we’re committed to maintaining adherence to the most stringent of requirements. For more information on how symplr can help you design and implement a streamlined credentialing process, click here to contact our experts today.