healthcare compliance and credentialing

symplr Blog

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

Jim Leonard

Jim serves symplr as the business development leader of Provider Management and Payor Enrollment. He brings more than 20 years of highly successful sales, marketing and consulting leadership to symplr. His team’s focus is to aid clients with the identification and resolution of gaps in current credentialing, privileging, peer review, quality, and event reporting programs. Jim’s insight into utilizing technology to create transparency and improve operational efficiency promotes overall improvement in provider and hospital performance; further aiding clients in meeting or exceeding compliance with governing body requirements such as CMS, JC, DNV, and CIHQ.

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Healthcare Provider Credentialing

Quality Data Matters

By: Jim Leonard
October 17th, 2014

There must have been a sigh of relief for many healthcare providers, payors, clearing houses and billing services when the Center for Medicaid & Medicare services (CMS) announced the delay of the ICD 10, again. The new date of October 1, 2015, is exactly one year from the previous deadline.

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Healthcare Provider Credentialing

Are all Accrediting Organizations the Same?

By: Jim Leonard
August 7th, 2014

Like any competitive organization, the what, when and how services are delivered can mean a big difference in how you perform. Every organization carrying the Centers for Medicare & Medicaid Services (CMS) moniker “Approved Accrediting Organization” has worked through a rigorous process to document their rules and regulations will be followed by hospitals they accredit. The question remains, what does that really mean to you and your hospital? Yes, the partner you’ve selected has been approved to perform surveys and work with you to correct any wrongdoings, but how they go about their day to day operations can be disparately different.

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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.

Blog Feature

Healthcare Provider Credentialing

ICD 10s...They're Not Just for Billing

By: Jim Leonard
July 30th, 2014

October 1, 2014... Is the date that’s top of mind with most healthcare providers, payers, clearinghouses, and billing services since CMS (Centers for Medicaid & Medicare Services) announced this as the final deadline for the transition to ICD 10. With the technology, training, and changes required, it’s going to take an inordinate amount of time just to get the 10’s implemented let alone consider the number of ways we’ll all benefit from this change. Yes, the requirement is burdensome, but if we take a moment to think ahead, it’s easy to understand that transitioning to ICD 10s will have a dramatic and positive impact on many areas of healthcare:

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Credentialing Software | Credentialing | Healthcare Provider Credentialing

6 Steps to Protect your Organizations

By: Jim Leonard
March 19th, 2014

Most organizations today have adopted “Best Practices” when vetting new hires, regardless of position or contract status. Industries like healthcare, transportation and education have taken it to the next level by requiring it as well as creating guidelines to follow. With auditors to examine compliance and enforce requirements, it’s no longer enough just to ensure requirements are followed - you must have a paper-trail that can prove it! During the “verification of credentials” process, the best practice is to have the following information, for each verification, regardless of the type of industry/standard your organization adheres to.

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Software Solution | Cloud Technology | SaaS | Healthcare Provider Credentialing

The Benefits of the Cloud

By: Jim Leonard
November 28th, 2012

The most common question people ask when they hear the word cloud in conjunction with technology is "what‘s cloud computing?" The answer is simple, cloud computing is the delivery of computing resources as a remote product rather than a physical product. The computer you connect to isn’t in your building, it could be 10 miles away or 100 miles away. We have all utilized the benefits of cloud computing for years but didn’t think of it in the way it’s used in business today. Remember the memorable tone followed by the words “You’ve got mail”? If you ever used AOL for email, you were computing in the cloud.

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Software Solution | Cloud Technology | SaaS | Healthcare Provider Credentialing

Five Ways Cloud Computing Can Save the Bottom Line

By: Jim Leonard
October 8th, 2012

Common business practices dictate two options for healthcare organizations to survive in today’s competitive marketplace: cut costs and increase gross revenues. The two seem diametrically opposed as most hospitals are working to cut staffing costs while working to increase the number of patients seen. By leveraging the cloud, the potential exists to save costs while improving service delivery and increasing patient satisfaction. All told, leveraging the cloud can save a healthcare organization’s bottom line from spiraling into the red.

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