healthcare compliance and credentialing

Privilege Plus When you tell us what you need to do your jobs better, symplr listens. And we know that when it comes to creating, updating, and delineating clinical privileges for physicians and APPs, there’s no room for error. That’s why Privilege Plus is a must-have tool.    

Are you leveraging the full functionality of your eVIPs provider data management system? At symplr, we’re continuously making eVIPs an even more robust workflow solution for credentialing, contracting, network management, quality improvement, ongoing monitoring & compliance, and more. Read on for the Winter 2020 updates and releases.

Every role in managed care today is data driven, with success measured incrementally toward higher quality healthcare delivered at a lower cost. Practitioner data is at the center of it all. According to CAQH, a typical practice holds 12 managed care contracts, with each health plan requiring roughly 140 data elements. For a practice with five practitioners, this equates to managing 8,400 data points.

When it comes to technology for managing clinical privileges, it’s fair to say we’re living in the golden age. Not long ago, paper applications and manila folders ruled the day. Hospitals presented practitioners with unwieldy lists of procedures dubbed “laundry lists.” Physicians checked the boxes next to the services they asserted the qualifications to perform. Veteran MSPs even recall physicians who drew a vertical line down through all the boxes indicating they should be granted every privilege on the list. 

How do you gauge when your time or your staff’s time becomes more valuable spent on responsibilities other than applications, primary source verification (PSV), and enrollment? This is a dilemma that credentialing leaders at hospitals and managed care organizations face as their provider data management volume increases rapidly—but there are no plans to grow credentialing or payer enrollment staff size.

It’s here: A new year in provider data management, and symplr’s ready with predictions for what to expect. In summary, look for 2020 to bring a blossoming of developments already on MSPs’ watch lists: APPs’ expanding scopes, more alignment of the credentialing and payer enrollment functions, and yes, blockchain for credentialing is still hanging in there behind the scenes.