As the aging population increases, the physician workforce decreases, and reimbursement rates struggle to keep up, many organizations are seeking cost-saving solutions wherever possible. One way to achieve that is to consolidate services where it makes sense to, and MSPs and provider enrollment...
While it is human to err, there are some mistakes in the credentialing process that can easily be avoided. Leslie Cox, BS, MHA, CPMSM, CPCS, former senior director at Banner Health’s credentialing verification office in Phoenix, describes four common errors that can result when the credentialing...
Effective meetings rely on a well-planned agenda. Standing meetings often include the same agenda items each month, which aids the planning process; any follow-up from previous meetings should also be included. The chair of each committee must sign off on the agenda prior to each scheduled...
Credentialing Resource Center Journal - Volume 28, Issue 9
I had just completed my case presentation on provider master data management (MDM) at a conference for medical professionals. A well-suited executive came up to me and asked me, “Our mergers and acquisitions are moving at a rapid pace; the other teams can’t keep up. Can master data help?”
Hospital mergers and acquisitions continue in response to the evolving regulatory environment in the healthcare industry. National healthcare policy is driving the urge to merge across the healthcare sector. While decreasing reimbursements for traditional fee-for-service care from...
Credentialing Resource Center Journal - Volume 28, Issue 9
Lengthy enrollment turnaround times with commercial payers can hurt an organization’s bottom line with delayed or lost revenue. Provider enrollment specialists have traditionally performed this function, but a growing contingent of MSPs are managing enrollment duties in addition to their...
