As healthcare organizations seek to achieve maximum reimbursement, they should ensure they have a mitigation plan for potential credentialing problems, according to Kevin Lathrop, president of TriZetto Provider Solutions.
Mr. Lathrop shared the following tip with Becker's Hospital Review.
"Credentialing is important to hospitals, clinics and independent doctors' offices because one misstep in the process can bring it to a halt, potentially impacting revenue for a considerable length of time. When the process stops unexpectedly, it can impact patient care and the physician's job at the hospital as well.
"Any well-thought-out process takes into account the many items necessary to secure credentialing from payers. In addition, the potential for errors are many, so it's important to identify where these may occur and have a mitigation plan in place. Whether the healthcare organization is large or small, a very specific, step-by-step plan is necessary to ensure the process is completed quickly and efficiently, and, hopefully, without any snags."
Read more about credentialing here.
If you would like to share your RCM best practices, please email Kelly Gooch at kgooch@beckershealthcare.com to be featured in the "RCM tip of the day" series.
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