Smarter Credentialing through a CVO Reduces Your Workload down to 6 simple steps from 52 conventional credentialing steps.
Medical offices that perform their primary source verification credentialing must perform more work. It takes time for staff members to see the credentialing process. Even if on-site staff members complete every step flawlessly, they are still doing, at minimum, around 52 conventional credentialing steps to produce a complete file ready for presenting to the committee for approval.
The medical credentialing process traditionally involves fifty-two highly detailed tasks that should be performed carefully. A poorly credentialed healthcare provider can open an office for medical malpractice claims, which might negatively impact the office’s bottom line.
Some of the significant steps that must be completed during medical credentialing are:
- Sending, tracking, and receiving the provider application packet. The packet’s length can correspond to the area of specialization and can total between 3 and 300 pages.
- Getting the provider’s release and privilege forms.
- Reviewing the disclosure’s questions and answers as well as explanations of any employment gaps and claims history.
- Obtaining applicable certificate copies of Board, ECFMG, Medical School, Internship, Residency, Fellowship, and two years CME.
- Getting copies of government-issued photo ID, Malpractice, DEA, and CDS.
- Acquiring CPR, ACLS, and PALS certificate copies and TB, MMR, varicella, and flu vaccination records.
- Attesting any conflicts of interest.
- Ordering a criminal background check.
- Getting an Allied Health Professional’s Supervising Physician’s Statement.
- Verifying board certification, medical school internship, residency, fellowship, affiliations, and state medical licensure.
- Obtaining professional peer references.
- Acquiring a copy of the provider’s current certificate of insurance.
- Run a National Practitioner Data Bank query.
Credentialing never ends.
When a provider needs to be credentialed again, the entire process must be repeated. Hiring a CVO to perform medical credentialing could free medical office staff from those tasks so they can focus on improving the organization in other ways, including generating more revenue or reassigning staff to other areas.
The traditional medical credentialing process comprises 52 conventional credentialing steps. Smarter credentialing, by outsourcing the entire process to a CVO like 5ACVO, can reduce those steps to 6. Smarter credentialing can also mean less work for medical office staff members to verify their provider’s qualifications to practice medicine.
Less work can also mean less staff is needed for those offices that desperately need to cut costs. A credentialing specialist’s average base salary is $51,000 per year. A seasoned specialist will demand a higher wage, possibly over $100,000 annually.
Less staff means fewer payroll taxes, less insurance coverage, and other benefits. A CVO can save medical offices an additional $21,000 per employee on top of salary expenses.
Outsource your Medical Credentialing
Medical credentialing verifies a healthcare provider’s professional documentation, including all the provider’s certifications and qualifications. Some medical offices perform intricate in-office undertakings using their staff members. The healthcare employee assigned to the credentialing may not have the necessary training to complete the process. Any lack of knowledge about medical credentialing can result in errors that delay onboarding new providers. Delays will also push back any revenue the office can receive once they start billing. Medical offices can lose revenue, which is critical, especially today.
A medical office can outsource credentialing tasks to a CVO team for a lower monthly fee. This can lighten not only their expenses but also their workload. Sometimes, a medical team’s morale can improve if they are not faced with many assignments. Stress levels may also decline. The team may perform better if they are not overworked.
They might not make as many mistakes during their workday. Billing and even treatment mistakes could cost a medical office money they almost certainly cannot afford. With more time, energy, and focus on addressing these areas instead of credentialing, there is good potential for an overall improved environment.
A practice that saves money by outsourcing medical credentialing can instead invest in better equipment, hire more providers, and open more facilities. These benefits can potentially reduce patient wait times and raise their overall satisfaction. The three benefits mentioned above can make staff members’ jobs easier when they have better support and more revenue.
Worrying about money can weigh on a medical office and affect work performance. Outsourcing medical credentialing can be a solution that reduces a medical office’s workload. A medical office employing a CVO can reduce the verification process down to 6 credentialing steps.
More information about 5ACVO
5ACVO specializes in credentialing and primary source verification and is part of the Fifth Avenue Healthcare Services family. 5ACVO sister companies include Fifth Avenue Agency (MPLI and medical malpractice specialists) and Primoris Credentialing Network (credentialing and provider enrollment specialists with 54+ health plan and network provider enrollment options).
For more information on 5ACVO, please visit 5ACVO.com or Contact Us.
