medhost physician credentialing

Post on 16-Jul-2015

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Physician Credentialing: Enhanced Services with MEDHOST

Introduction of MEDHOST Provider

Credentialing

Services and Special Projects

Agenda and Speakers

Lisa Mounkes

Kevin Moran

Contract Management

Reporting Services

Patient Statements Processing

Services

The Challenge

Disgruntled Patients

Unproductive Physicians

Technically Challenging

for a Practice Management

Team

Cumbersome and difficult

for Physicians and hospitals

Time Intensive

Resource Intensive

Paper Intensive

Results

Long Lead Time

Time Intensive

Gather Information

Review Information

Follow-Up and Follow-Through

Resource Intensive

Paper Intensive

Results

Time Intensive

Maintain Knowledge

Base on Payer Process

Application Fulfillment

Maintain Compliance

Knowledge of

Regulatory Factors

Verification and

Review

Resource Intensive

Paper Intensive

Results

Resource Intensive

Time Intensive

Reference Data from

Payers

Forms, Forms, Forms

Duplicative Process

Paper Intensive

Results

Paper Intensive

Resource Intensive

Time Intensive

3 Declining Reimbursement

2 High AR Day Count

1 Physician Recruiting

Results

Time Intensive

Resource Intensive

Paper Intensive

Results

Decreased Days in Contracting Process

Credentialing Specialist

Payer Reporting

System

Electronic Credentialing

Database

MEDHOST Provider Credentialing

KEVIN.MORAN@MEDHOST.COMLISA.MOUNKES@MEDHOST.COM

Thank you,

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