Given the high stakes and complexity of provider enrollment, aligning the function with traditional medical staff services work requires a clear strategy, strong approaches, and adept staff. Otherwise, the process may unravel, jeopardizing revenue, care access, and practitioner satisfaction....
The following is from Adena Health System in Chillicothe, Ohio, explaining the steps that happen in its revised and streamlined onboarding process. For more details about how Adena improved its provider onboarding, read this...
Melissa Brenner, medical staff and provider enrollment manager for Adena Health System, discusses how the organization was able to use the tools of Six Sigma to strengthen and streamline its provider onboarding process.
Legal cases have significantly affected how health plans operate with regard to their credentialing practices. There are several ways in which managed care organizations can be held liable for their actions or for the actions of their providers related to the care received by members.