Editor’s Note: This artical originally appeared on Availity’s website.
CMS’s recent report on the state of provider directories identified three challenges facing health plans. Recent blogs covered the first two challenges: the issue of contractual versus resource constraints and the lack of internal audits by health plans to verify provider information. A third problem creating directory inaccuracies is that health plans rely on providers to reach out and tell them when information changes. From the report: “MAOs cannot assume that they will be informed when a change in provider location occurs; instead, MAOs need to implement routine processes that drive more accurate information reflected in their directories.”
It’s true that health plans need better processes to capture data from providers, but it’s more difficult than many realize. Here are a few reasons why. click here to continue>>
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