Credentialing — also called medical, provider or physician credentialing — is a detailed process that reviews a care provider’s qualifications and career history including their education, training, residency and licenses, and specialty certificates. Credentialing must be completed upon the hire or enrollment of a new care provider and regularly to abide by the standards set forth by regulatory and accreditation organizations including the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC). Credentialing software can help your organization meet these standards and accelerate the process through automation.
Your processes are only as good as the freshness of your information. During the credentialing process you will request, gather, and validate information about a care provider with the intention of using that information within a downstream process. You need credentialing software that provides you with a powerful ecosystem. A modern, on demand, cloud-based platform featuring embedded, continuously updated, evidence-based content and curated, crowd-sourced, pre-validated provider data is key to maintaining an unparalleled source of truth that prepares you not only for today, but for tomorrow.
Data is the lifeblood of your business. Good data leads to good decisions that will improve patient care and increase revenue. Your credentialing software should automate your credentialing processes with on point curated data.
Your credentialing solution should enable you to automate other important processes in your organization like privileging and enrollment to accelerate enterprise standardization. This should include evidence-based content.
Today’s providers want to focus on patient care—not providing redundant data. When it comes to physician credentialing, your software solution needs to deliver a superior provider experience.
The data collected by your credentialing software will be required in downstream processes involving a wide range of users. You need a solution that is easy to learn and easy to use and can be accessed anywhere/anytime.
Healthcare never stands still. Arguably one of the most important aspects of your credentialing solution is that it should prepare your for today and tomorrow.
Selecting new credentialing software, doesn’t have to be hard – VerityStream is here to help! We currently serve over 2,400 hospitals and 1,300 outpatient facilities in the U.S. including ambulatory surgery centers, urgent cares, and medical groups. We’d like to serve you too!