Years ago when V2V Founder Irv Barnett and I first started working
together, physician credentialing was a completely paper-driven process.
Many physician practices have been slow to adapt to the new business of
health care. Yet, by reducing redundant workflows, the need for
expensive storage space, and the risk of security breach, transformation
of formerly paper-based systems only furthers the sustainable success
of your practice.
While typing and printing out multiple forms with the same physician
information, we heard about an automated process for credentialing-that
could input and store detail, by provider. Wow! Our minds reeled with
the possibilities of only entering provider data, one time, to populate
many forms. Knowing this tedious process all too well and how easy it
was to make errors, needless to say, we were excited.
Sounds perfect, but wait…
While supporting a specialty medical practice, we heard they just
installed this type of system. When we arrived to begin our
credentialing work, we found that the practice, indeed, had the program
but they didn’t use it. The credentialing specialist would gather
provider information, populate it into a file, but felt entry into the
software application (App) was an extra step. That was understandable,
especially for those of us who had done it the paper-driven way for so
long. The staff member actually said, “Hey, I’ve got my file, I’ve got
my paperwork, I’m good to go. Why would I need to fill out an electronic
form?” This happened because most of the payers still required
submission of a printed set of credentialing paperwork, even though the
World Wide Web had dozens of examples, per industry, of secure online
The big game-changer to credentialing came when CAQH (Council for
Affordable Quality Healthcare) made the switch to a cloud-based
interface. Since then the solutions vendors have offered a number of
products to interface with CAQH’s interface to ease the burden of
physician data collection and storage.
A host of payers now use the CAQH database to access provider
information. While they still require a paper form, they will access
CAQH. So, back to the medical practice. While at a conference, we found
the solution reps in attendance and they gave us an on-the-spot
demonstration of how to use their App. We learned a LOT that day. The
biggest plus for us included the fact that once you input physician
licensure and personal data-you can go paperless. You can SHRED. IT.
ALL. (I know, right?!) This practice now stores large volumes of
information, securely, in the cloud. We’ve reduced their space
requirements and the risk of security breach. Moreover, this program
uploads and downloads provider data for the practice.
Because it’s customizable, when you purchase the licenses, unique
forms can be created. Standard forms are also available for your
practice. For example, if you consistently use a form for Blue Shield,
it is available as an online template.
Once a physician’s data set is uploaded, it allows information
sharing. While you remain the App administrator, you can grant viewing
rights and share information across the onboarding team. The App also
tracks licensure expirations and sends auto-generated reminders, via
email. You can set the triggers of how far in advance you want to be
notified. Sounds like credentialing Nirvana, doesn’t it?
So, whether for physician credentialing or some other paper-based
system, the next time you’re fighting with forms and mailing them into
an office, ask yourself: Is there an App for that? With all the time
created from eliminating redundant paperwork and reducing administrative
anchors, you just might transform your organization, becoming ADEPT℠ at this new business of health care.