PRESENTATION OUTLINE
How to Select Credentialing Software?
Whether you've done it just once or hundreds of times, you know that physician credentialing is a labor and time-intensive task.
On the flip side, it's also mandatory if you want to earn reimbursement from payers while also minimizing risks for your practice.
Fortunately, there is a silver lining.
Software solutions are available to help manage the process.
Here are some key features to look for when selecting physician credentialing software.
Cloud Based Credentialing Software
It's important to look for a cloud-based solution as opposed to traditional software that must be physically purchased on a disc, manually installed and then maintained.
Cloud-based solutions can be easily accessed via a browser, are available on a pay-as-you-go subscription basis.
Upgrades can be done quickly and nearly effortlessly from any location.
Automated
Reminders & Alerts
Reminders and alerts are critical to notify users when tasks need to be completed.
For example, credentialing software can remind users in advance when physicians require re-credentialing.
Alerts help notify of important upcoming dates such as when physician certifications and licenses are about to expire.
These reminders and alerts, combined with reports listing upcoming tasks, help facilitate greater efficiency so organizations can always stay on top workloads.
Once physician demographic & other information is entered, the system should be able to reuse that information to pre-populate forms and other materials.
Software can also remove the need for data entry by pre-populating the physician data.
Look for a system with import tools that allow for the seamless extraction of provider information from various forms.
Including insurance company forms and the PDF documents from the Council for Affordable Quality Healthcare (CAQH).
This information can be used auto-populate other forms.This eliminates the lengthy and time-consuming process of re-entering information.
Systems should include document management capabilities to store forms, correspondence, credential verification materials and more.
This saves time by properly organizing documents into a logical order that can be easily navigated for quick reference, and rids office staff of the stacks of folders with hard copies.
With the right software solution, credentialing can be a more streamlined and consistent effort throughout any organization.
And, you just might welcome the new staff physician who needs to be credentialed.
