Healthcare organizations are pressured to improve productivity and reduce costs, while meeting high quality standards and protecting patient confidentiality.
There are multiple workflows within multiple functional groups involved in patient care or physician credentialing that are ripe with inefficiencies. This article focuses on improving the workflow efficiencies in provider credentialing.
What is provider credentialing?
Hospitals are required to keep accurate records to verify that their physicians and other health care providers are adequately trained, certified and/or licensed. For example, all physicians and allied health practitioners must provide evidence of:
- Medical malpractice insurance
- DEA certification (controlled substance)
- State licensure
- Other certifications as required, such as:
- ACLS - Advanced Cardiovascular Life Support
- PALS - Pediatric Advanced Life Support
- PA - Physician Assistant Certification
- NLS - Newborn Life Support
- TLS - certification for trauma practice
Credentialing Paper Jams
Each healthcare organization now deals with a lengthy application process in order to understand the entire background of the healthcare provider professional. The collection and verification of the provider’s credentialing data is a very time-consuming, paper intensive, and deadline sensitive process.
Keeping critical credentialing information in paper form can result in inefficiencies, which can be costly in:
- Lost time manually auditing backup records stored in binders and remote storage, finding misplaced documents, and filing paper documents
- Documentation errors
- Lack of documentation security
- The need to hire Temporary personnel to meet process deadlines
- Physician denial to practice if records have expired
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