Category: Provider Data Management

MACRA’s Quality Payment Program: What to Expect

MACRA’s Quality Payment Program: What to Expect

Medicare is forging ahead with a payment program that links physician pay to measured quality of care. “This could be the beginning of baseball-style score cards for physicians,” says Dr.…

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 It’s likely that a good portion of your data is already outdated,…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

Implementation of new technology can seem like a burden, which is why we’ve been purposeful with how we’ve built CredSimple. Our goal is to unburden the credentialing process and to…

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…

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.…

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…

Provider Directory Regulations: A State-by-State Guide

Provider Directory Regulations: A State-by-State Guide

Provider directories have long been a source of inaccurate provider information. As a result, federal (CMS) and state regulations will be enforced to ensure that healthcare consumers receive accurate information.…

Open Letter to a Provider Directory

Open Letter to a Provider Directory

Provider data is the foundation of a healthcare network, and bad data causes ripple effects that add up to billion-dollar problems across the entire industry. These problems affect doctors, their…

NCQA Credentialing Requirements: 6 Common Mistakes

NCQA Credentialing Requirements: 6 Common Mistakes

Founded in 1990 with the mission to systematically improve healthcare quality, NCQA is considered the gold standard when it comes to credentialing requirements. We think it's important to understand and…