Saturday, December 28, 2019

Why Are Healthcare Facilities Exist - 1695 Words

Provider enrollment has become increasingly complex. Changes in reimbursement, closed networks, and risk based contracts has left many administrators and providers scratching their heads for answers. For solo practitioners or a small group of providers (no more than 5 providers), running the credentialing and enrollment process in-house is a manageable endeavor. However, for hospitals, larger groups, clinics and health systems, especially those with multiple locations, it can be a time-consuming and costly endeavor. This is especially true when relying on manual methods like paper documentation, spreadsheets to keep track of all applications, contracts and renewal dates to run credentialing in-house. Healthcare facilities exist to address the needs of their patients. The reality is that in order to remain viable as an organization and continue to treat and see patients, you must receive timely payment for services rendered. This means working with various payers, including Medicaid and Medicare. Provider credentialing, enrollment and contracting are common pain points in the critical effort of receiving payments for healthcare services that have been provided. In this article we’ll look specifically at the enrollment process and address why outsourcing this frustrating task makes financial sense to medical practices and facilities. To help administrators and providers find a credentialing partner that best fit their needs, consider the following: Experience matters – AShow MoreRelatedThe Basics Of The Magnet Status935 Words   |  4 PagesThe basics of the Magnet status, The ANCC data shows, that healthcare facilities with higher percentages of Bachelors of Science in Nursing (BSN) nurses enjoy better patient outcomes and significantly lower mortality rates. 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