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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Conformity adds toRead MoreSt. Vincent Hospital Worcester: Mission and Values and Market Research850 Words   |  3 Pagespassion and commitment to assure the very best healthcare for those we serve. Vision: To be the hospital of choice for patients, physicians and employees in Central Massachusetts because of our preeminent patient care and teaching programs. To be well recognized as a technology leader in New England. To be the academic center of choice for residents and healthcare professionals. To be a prominent community member known for meeting the healthcare needs of the entire community through incomparableRead MoreStrategic Planning : Strategic And Tactical Planning1037 Words   |  5 PagesIn my facility, we take a regimented approach to strategic and tactical planning. There are usually multiple committees formed and operational at any given time, addressing various operational and clinical organizational needs. The committee meetings are highly structured in their approach to identifying the problem, brainstorming for potential solutions, and determining implementation and monitoring/feedback methods. After each meeting, a document is created to â€Å"map out† the short and long term