Credentialing
Benchmark your process vs relevant and national averages.
Analyze processes by stage:
- Application
- Required items
- Validation
- Appointment
Breakdown required items stage by group:
- Department
- Credentialing Coordinators
- Hospitals
Enrollment
Aspects of the enrollment process can reveal factors that cause delays.
Understand where providers stand in the enrollment process.
- Packet Completion
- Validation
- Approval
- Enrollment
Benchmark these volumes and timelines:
- By Payer
- By Enrollment Specialist
- By Group size
- By Facility
Privileging
Breakdown bottlenecks in your privileging processes.
Understand your privileging process workflow by analyzing requests in process within six stages:
- Requests Submitted
- Reviews
- Department Chair recommendation
- Credential Committee
- Medical Executive Committee
- Board Decision
Benchmark:
- Number of Requests
- Average time frames
- Denials
- Withdrawals
- Interim requests
Analyze:
- By Facility
- By Department
- By Specialty
- By Organization type and size
Focused Professional Practice Evaluation
- By Specialty
- By Privilege Cluster
- By Condition
- Time frames and Volumes
- % Completed, Retained, Changed
