healthcare compliance and credentialing

Whether your organization is Joint Commission-accredited or follows the standards and regulations of another body, prepare for a compliance evaluation, aka a “survey.” After ensuring that your policies and procedures are sound, staff and clinicians adhere to the standards, and a culture of improvement is woven into operations, success comes down to performance during the survey. We offer last-minute tips to help you succeed under the surveyor's microscope.

COVID-19 has created countless challenges across every industry, and healthcare facilities have been especially hard-hit. According to some estimates, the demand for PPE at hospitals increased by as much as 1700% in the early months of the pandemic. U.S.-based manufacturers were unprepared to meet such a steep spike in demand, and much of the country’s PPE supply had to come from China. In addition, there were widespread shortages of other vital equipment.  

While safety and quality have always been associated with credentialing, being a revenue-generating function has not. Now credentialing and medical services departments are increasingly seen as a part of the revenue cycle. 

Calling all provider data management professionals! Take our quiz to test your industry knowledge, perhaps learn something new, and have fun in the process. See answers and score key at bottom.

Workforce management should be a primary focus for healthcare organizations, and for good reason. Not only does a well-crafted workforce management strategy and effective technology help lower costs and increase efficiencies, it also plays a vital role in improving patient outcomes and positively impacts staff experience.

Integration is occurring in all facets of healthcare, but we’re focused on a topic close to home: Integrating provider credentialing and payer enrollment (PE) functions. Ask practical questions to eliminate redundancies and share information, regardless of what resources you have, and in spite of what seems like an enormous task.