How top organizations are transforming their credentialing and reaping major rewards

The considerable length of time it can take to credential and enroll practitioners in health care networks—thus enabling practitioners to provide and bill for services—is a frustrating issue for many health systems today.

Credentialing improvements such as standardizing and/or centralizing, integrating with practitioner recruitment and enrollment, leveraging data across the network, and, in some cases, achieving delegated credentialing agreements with third-party payers are resulting in optimal practitioner application turnaround time and outcomes for top health systems and hospitals such as:

  • Significant cost savings and improved ROI from greater efficiencies and economies of scale
  • Expedited revenue: Practitioners quickly processed, authorized to practice, and enrolled with payers means revenue in the door sooner
  • Risk reduction: With efficient, high-quality application processing there is less pressure to grant temporary privileges (and therefore less clinical and legal risk)
  • Practitioner satisfaction: Less paperwork and delay combined with quick authorization to practice = happy practitioners

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