Provider Onboarding May Appear Frankenstein-ish, But It Doesn’t Need to Act Like a Monster

Stitch together disjointed departments and processes to give new life to your Provider Onboarding operations.

An inefficient provider onboarding system is often a collection of disparate parts that don’t talk to each other—not unlike the body parts Victor Frankenstein assembled to build his legendary creature. Although Frankenstein’s enormous creation looked hideous, the creature was actually gentle and intellectually gifted. Only when he was shunned for his outward appearance did he turn into a brutal monster.

Similarly, when you stitch together ineffective contracting, credentialing, privileging, and enrollment processes that were created and managed by people from siloed technology departments with different goals and agendas, the result can appear ugly and non-seamless. The downstream effects manifest in the form of dissatisfied staff and providers who are frustrated by the administrative burden, limited access to members, and delayed or improper revenue. In spite of its imposing appearance, though, provider onboarding doesn’t have to operate like a monster.

When the various functions of provider onboarding are conducted separately, without communication or sharing of data between departments, the entire process—from recruitment to enrollment—can take up to 245 days. This delay is dreadful and wholly unacceptable when the potential for a successful creation already exists within your organization. To ignite provider onboarding, reviving provider and patient satisfaction, you need to torch the silos and re-build your creation into a single source of truth.

Follow this blueprint to unite disjointed departments and processes into a collaborative, consolidated onboarding process:

Centralize provider data. When provider data comes from multiple sources and is entered several times into separate systems, you may wind up with dirty, inaccurate data, which is then submitted to federal, state, and commercial payers for enrollment. Current and clean provider data is essential for accurate provider directories and compliance with CMS and other governing bodies and regulations. To obtain relief from imperfect data, you need a single source of truth that is consistently reconciled and dynamically validated against primary sources. Storing real-time provider data and documentation in a single, centralized database improves data quality, access, and transparency, and eliminates duplicative requests for information, reducing provider frustration.

RELATED VIDEO: Provider Data Management

Share data across open channels of communication. When you integrate onboarding processes across multiple facilities within an organization to share credentials verification data, you eliminate repetition and reduce the associated administrative costs and burden. In addition to the credentialing data, you can store peer references and individual privileging assessments to properly authenticate the scope of practice for a provider. Easy sharing of critical information is essential for appropriate care access, quality governance and risk management, and patient safety.

Integrate provider contracting, credentialing, privileging, and enrollment. Once system centralization and quality data sharing are in place, it’s time to charge up your new creation. The integration of these processes avoids duplication of work, resulting in faster, more efficient onboarding and improved brand integrity. (No more monster name!) You can submit clean data that has been timely and suitably vetted to the payers without further delay. Everything you need to complete a provider’s onboarding journey is available through a single source of truth, and finding the overlapping pathways and pieces between the processes that can be stitched together will bring a true onboarding workflow to life.

TractManager’s provider onboarding solutions automate and revitalize manual, inefficient processes and accelerate onboarding. MediTract CLM, TractManager’s Contract Lifecycle Management software, acts as the brain that triggers downstream onboarding processes. CARE, our Credentialing, Privileging and Enrollment software, is the heart, transmitting information (provider data) to the body parts (credentialing, privileging, and enrollment) and coordinating the tasks required to complete the onboarding process. It’s vital that these elements all work together to avoid frightening outcomes.

By integrating provider contracting, credentialing, privileging, and enrollment processes, our solution reduces onboarding timeframes from 245 days to 115 days. This seamless integration is the lightning that transforms nightmarish processes occurring in a vacuum into a collaborative system that speeds up your healthcare organization’s access to revenue.

RIP inefficient processes and dirty data!

For more information on reviving your provider onboarding operations, download the 4Ds of Provider Onboarding Guide.

Author:

Allyson Schiff

Senior Director, Strategy & Growth, Provider Management

Allyson Schiff joined Newport Credentialing Solutions in 2009 and joined TractManager when Newport was acquired in 2018.

 

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