CredSimple Blog

25% of Provider Data Became Obsolete in 2016. Don’t Let that Happen in 2017.

25% of Provider Data Became Obsolete in 2016. Don’t Let that Happen in 2017.

Fact: Your business runs on data. That data affects your business every day. Obsolete provider data is an industry-wide problem. It’s likely that a good portion of your data is already outdated,…

CredSimple’s Streamlined Implementation: Less Work for You AND Your IT Team

CredSimple’s Streamlined Implementation: Less Work for You AND Your IT Team

Implementing new technology can seem daunting, which is why we’ve been purposeful with how we’ve built CredSimple. Our goal is to unburden the credentialing process, which why we've made implementation and…

3 Costly Ways Your Credentialing Operation Affects Your Bottom Line

3 Costly Ways Your Credentialing Operation Affects Your Bottom Line

Your provider credentialing process directly affects your organization’s bottom line in numerous ways. It’s worth considering now whether your credentialing function is a headwind or a tailwind on revenue. Here are…

How to Get Rid of the Credentialing Black Box: Make Status Updates Easy

How to Get Rid of the Credentialing Black Box: Make Status Updates Easy

Why is Jessica so Frustrated? Jessica is a busy credentialing coordinator who has been in her role for 5 years. Today, she arrives at her desk to voicemails and emails…

1 Simple Tip to Improve Recredentialing Efficiency

1 Simple Tip to Improve Recredentialing Efficiency

With so many moving parts, hospitals — or any other clinical care organizations that employ or work with healthcare providers — must decrease any roadblocks to compliance and revenue cycles.…

2 Simple Bylaw and Policy Changes Could Alleviate Your Credentialing Roadblocks

2 Simple Bylaw and Policy Changes Could Alleviate Your Credentialing Roadblocks

We work with a number of health plans and we’ve learned a few tricks that can help reduce provider credentialing turnaround time. Reduced turnaround times increase provider goodwill, help operations…

NCQA and URAC Accreditation for Credentialing: How to Choose

NCQA and URAC Accreditation for Credentialing: How to Choose

Provider credentialing is a necessary business function for health plans and is required in order to ensure quality of care for members. When implementing — or reevaluating —  a credentialing…

Clover Health is Changing the Way We Think About Healthcare

Clover Health is Changing the Way We Think About Healthcare

Disruption is happening in every industry these days. To be hailed a “disrupter,” a company must challenge the status quo. One way to do that is to question industry assumptions.…

Count Your Credentialing Cycle in Days, Not Months

Count Your Credentialing Cycle in Days, Not Months

If you’re constantly playing catch up when it comes to provider credentialing turnaround time, you’re not alone. For most health plans it takes 60 - 90 days to complete provider…

Not Just Compliance: Top 5 Reasons Payers Should Care about Provider Directory Data Quality

Not Just Compliance: Top 5 Reasons Payers Should Care about Provider Directory Data Quality

Provider directories are an important resource for network management and referral management. They are also an important tool for healthcare consumers. Provider directories are one of the first, and most…