Blog Feature
Julie Costa-Bickmore, CPCS

By: Julie Costa-Bickmore, CPCS on July 18th, 2012

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The Benefits of Privileging Technology

Software Solution | Privileging | Risk Management | Healthcare Provider Credentialing | Provider Privileging

Maintaining current and accurate hospital privileging data is an important function within any healthcare organization. Proper processes and documentation mitigate risk and assure the most appropriate clinical deployment.

Labor Intensive Methodology

Today hospitals have a tremendous responsibility to deliver patient care with qualified physicians who are properly privileged. The responsibility becomes more complex for hospitals in a hospital-system environment, as many times privileges may not apply at other facilities within the system creating an overwhelming task for staff.

Managing this process manually is very labor-intensive and requires an error-free approach. Yet, many hospitals still have their privileges in paper form, perhaps in binders, in the office of the Medical Staff. An outdated methodology, as such, presents a plethora of challenges as documentation becomes outdated quickly and circumstances change with little notice creating a huge area of liability.

Benefits of a Privileging Software Solution

A comprehensive software solution that incorporates a full privilege library which is researched extensively by experts is available. As new medical procedures or devices are introduced, the researcher will work directly with the necessary sources to update the software tool with the minimum standards recommended to possess these privileges. And with the introduction of new procedures and technologies almost daily, allowing the experts to handle the research for you will allow your medical staff office to focus on supporting the departments in adopting and delineating these privileges.

Adoption of this technology builds a foundation for smooth and accurate privileging processes and ensures that hospitals are utilizing the most updated, best practices when privileging providers. All this is done “real time” and is automated to assure privileging is done using the most current standards and documentation possible.

Accessibility of Key Information

When data is centralized, streamlined and made available for all necessary medical staff to accurately access which providers have which privileges it allows scheduling for procedures quick and error free! No longer do you have to worry that the floor staff is not updated regarding a providers suspended or revoked privileges. The privileging system does it for you!

Tied to ICD/CPT Codes

A comprehensive software solution that enables you to complete and maintain a comprehensive library of privileging documentation tied directly to ICD and CPT codes is an effective tool for managing privileges in your facility. Do you know how many procedures your providers are performing? Or worse, is a provider performing procedures in which they are not privileged? By linking ICD and CPT codes to privileges affords you the opportunity to generate reports from your billing system which will provide you this and other important information. Further, re-credentialing and reporting for OPPE and FPPE becomes streamlined and efficient.

Oh, and be sure your system is ICD-10 ready!


About Julie Costa-Bickmore, CPCS

Julie Costa-Bickmore, CPCS is symplr’s credentialing / privileging consultant, with more than 25 years’ experience working as a consultant with medical staff office, administration, and physician leadership teams in hospitals and other healthcare facilities nationwide. She developed the privileges and threshold criteria content for the symplr privileging database. Her primary focus area is the development of core privileges and threshold criteria for special procedures, as well as the quality of the credentialing process.