At 1ˢᵗ Credentialing we know that when our clients place their trust in us, we take that responsibility seriously by communicating with our clients to create a transparent and collaborative partnership.
Healthcare organizations of every size realize that hiring 1ˢᵗ Credentialing is the most economical and efficient way to solve their credentialing needs. We have the training, expertise and commitment it takes to keep a complex process moving forward at all times.
1ˢᵗ Credentialing supports healthcare practices of all sizes - from health systems, to community hospitals, to large group practices, to smaller organizations. We help get your providers up and practicing as fast as possible.
Learning more about the credentialing process benefits us and our clients. 1ˢᵗ Credentialing offers regular videos and newsletter updates to bring our clients and those interested in innovations in credentialing up to speed.
Why the Industry Needs To Lead the Way in Streamlining Healthcare Business Transactions
A recent Catalyst newsletter from the Council for Affordable Quality Healthcare (CAQH) recommends strategies to help healthcare become more efficient.
While the healthcare economy is going digital, an astonishing 40% of claim payments and remittance advices are still done by hand. Even conducting basic transactions requires a minimum of 1.1 million labor hours of manual administrative work each week.
The newsletter provides an interesting comparison between the healthcare and financial services industries. For example, today’s banking consumers enjoy and expect global banking, automated cash withdrawals and routine streamlined transactions. Admittedly, the healthcare industry is more complex with many more stakeholders.
But the banking world can provide valuable lessons to our industry, and one important takeaway is that automation became possible in banking because the private and public sectors worked together to develop standards and guidelines. CAQH CORE Operating Rules provide similar paths to a parallel automated environment.
Timely and complete provider data is essential when conducting business in the healthcare industry, from paying a claim to developing a provider directory.
But collecting provider data can still be a piecemeal process, with time-consuming and redundant tasks costing the commercial healthcare industry an estimated $2.1 billion each year.
CAQH’s Provider Data Action Alliance, a group of health care leaders, has worked hard to develop a Roadmap with a vision and strategies on ways to improve provider data. Some of these recommended strategies include:
Centralizing data resources
Developing industry-accepted data definitions
Improving maintenance processes and accountability measures
Fostering greater regulatory alignment
After an industry review period which closes on October 31st, the team’s goal is to finalize the Roadmap in November. Read more about the team’s approach in this Roadmap slide show and stay tuned for updates later this year.
Let Us Manage All Your Payer Enrollment Services
If you require medical credentialing and payer enrollment needs for your practice or medical facility, please contact 1st Assistant. Our experienced and dedicated specialists will provide all credentialing and enrollment services quickly and will monitor your account for ongoing updates and re-attestations. Heidi Henderson, our company owner and President, is eager to meet you and discuss your payer enrollment needs. Please call us at 512.201.2668 or contact us via the website.
Our credentialing experts are here to help you assess exactly which solutions you need and let you know how inexpensively we could put you on the right track. 1ˢᵗ Credentialing includes primary source verification and payor enrollment for all insurance networks including Medicare, Medicaid, Medi-Cal and insurance networks. Don’t wait another minute, contact our terrific team today!