Managing the credentials of providers is a time consuming and constantly changing set of data points that requires constant oversight. The combined labor and technology expense of managing credentialing in house and the lack of integration with other key elements of the revenue integrity processes, makes this unwarranted expense for medical groups.
CREDENTIALING
Constant Monitoring and Business Intelligence Alerts
Managing the credentials of providers is a time consuming and continually changing set of data points that requires constant oversight. The resources both from a labor and technology point of view are an unwarranted expense for most practice groups and it is essential that provider credentials are properly managed.
At the end of the day practices need to know that providers are appropriately credentialed to provide the services reflected in the claims the practice submits. If there is an interruption to revenue from out-of-network denials related to a provider’ credentials, schedulers, billers and leadership needs to know about it immediately without digging through reports.
Constant Monitoring of Credentials and the Credentialing Process
We have mind mapped of the processes, dependencies and data that needs to be managed for all providers in a practice. The complexities of the credentialing process requires trained professionals, software that can track all the required credential information and business intelligence that is constantly surveilling credential expiration dates and hospital appointments to prevent interruptions to revenue. Synergy Revenue Integrity constantly monitors credentials and alerts your practice to events that impact revenue integrity.