medhost physician credentialing

15
Physician Credentialing: Enhanced Services with MEDHOST

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Post on 16-Jul-2015

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Page 1: MEDHOST Physician Credentialing

Physician Credentialing: Enhanced Services with MEDHOST

Page 2: MEDHOST Physician Credentialing

Introduction of MEDHOST Provider

Credentialing

Services and Special Projects

Agenda and Speakers

Lisa Mounkes

Kevin Moran

Page 3: MEDHOST Physician Credentialing

Contract Management

Reporting Services

Patient Statements Processing

Services

Page 4: MEDHOST Physician Credentialing

The Challenge

Disgruntled Patients

Unproductive Physicians

Technically Challenging

for a Practice Management

Team

Cumbersome and difficult

for Physicians and hospitals

Page 5: MEDHOST Physician Credentialing

Time Intensive

Resource Intensive

Paper Intensive

Results

Page 6: MEDHOST Physician Credentialing

Long Lead Time

Time Intensive

Gather Information

Review Information

Follow-Up and Follow-Through

Page 7: MEDHOST Physician Credentialing

Resource Intensive

Paper Intensive

Results

Time Intensive

Page 8: MEDHOST Physician Credentialing

Maintain Knowledge

Base on Payer Process

Application Fulfillment

Maintain Compliance

Knowledge of

Regulatory Factors

Verification and

Review

Resource Intensive

Page 9: MEDHOST Physician Credentialing

Paper Intensive

Results

Resource Intensive

Time Intensive

Page 10: MEDHOST Physician Credentialing

Reference Data from

Payers

Forms, Forms, Forms

Duplicative Process

Paper Intensive

Page 11: MEDHOST Physician Credentialing

Results

Paper Intensive

Resource Intensive

Time Intensive

Page 12: MEDHOST Physician Credentialing

3 Declining Reimbursement

2 High AR Day Count

1 Physician Recruiting

Results

Page 13: MEDHOST Physician Credentialing

Time Intensive

Resource Intensive

Paper Intensive

Results

Page 14: MEDHOST Physician Credentialing

Decreased Days in Contracting Process

Credentialing Specialist

Payer Reporting

System

Electronic Credentialing

Database

MEDHOST Provider Credentialing