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Streamlining the physician credentialing process
1BDO Seidman LLP, Healthcare Advisory Services, USA.
Cost & Quality Quarterly Journal : CQ
|March 8, 1997
Summary
Physician credentialing demand remains high, necessitating cost-efficient management. Streamlining efforts like uniform applications and CVOs will improve efficiency as managed care competition grows.
Area of Science:
- Healthcare Administration
- Medical Staff Services
Background:
- The demand for physician credentialing information is expected to remain consistently high.
- Healthcare organizations face increasing pressure to manage credentialing processes more cost-efficiently.
Purpose of the Study:
- To explore strategies for improving cost-efficiency in physician credentialing.
- To identify methods for streamlining the physician credentialing process.
Main Methods:
- Analysis of current physician credentialing practices.
- Examination of the impact of uniform applications and Centralized Verification Organizations (CVOs).
- Assessment of competitive pressures in the managed care market.
Main Results:
- The adoption of uniform applications can simplify the credentialing workflow.
- Centralized Verification Organizations (CVOs) offer a pathway to streamline credentialing.
- Increased competition in managed care is likely to drive further innovation in cost reduction for credentialing.
Conclusions:
- Healthcare organizations must prioritize cost-efficiency in physician credentialing.
- Standardized application processes and CVOs are key strategies for streamlining.
- Market competition will spur the development of novel cost-saving measures in physician credentialing.