By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    improving patient experience
    6 Ways to Improve Patient Satisfaction Within Hospitals
    December 1, 2021
    degree for healthcare job
    What Are The Health Benefits Of Having A Degree?
    March 9, 2022
    custom software development is changing healthcare
    Digital Customer Journey Mapping and its Importance for Healthcare
    July 21, 2022
    Latest News
    Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
    May 16, 2025
    Learn how to Renew your Medical Card in West Virginia
    May 16, 2025
    Choosing the Right Supplement Manufacturer for Your Brand
    May 1, 2025
    Engineering Temporary Hospitals for Extreme Weather
    April 24, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    Can Thinking Younger Make You Live Longer?
    April 20, 2011
    Image
    Obesity’s Outlook Unchanged
    June 13, 2011
    When It’s An Emergency Elderly Not Treated As Well in Hospitals
    July 16, 2011
    Latest News
    Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
    May 18, 2025
    The Critical Role of Healthcare in Personal Injury Recovery: A Comprehensive Guide for Victims
    May 14, 2025
    The Backbone of Successful Trials: Clinical Data Management
    April 28, 2025
    Advancing Your Healthcare Career through Education and Specialization
    April 16, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: The Cost of a Credentialing Mistake
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Business > Hospital Administration > The Cost of a Credentialing Mistake
Hospital AdministrationPolicy & Law

The Cost of a Credentialing Mistake

Lisa Simmons
Last updated: October 29, 2015 4:43 pm
Lisa Simmons
Share
4 Min Read
SHARE

It is said that “Mistakes are always forgivable, if one has the courage to admit them.” This is, however, not true if mistakes are made when practitioners are on-boarded, credentialed/re-credentialed and enrolled into payer plans. These mistakes impact facilities, practitioners, patients and bottom lines. 

Staff spends too much time completing documents

It is said that “Mistakes are always forgivable, if one has the courage to admit them.” This is, however, not true if mistakes are made when practitioners are on-boarded, credentialed/re-credentialed and enrolled into payer plans. These mistakes impact facilities, practitioners, patients and bottom lines. 

Staff spends too much time completing documents

More Read

Living Better with Diabetes
Preventive Medicine, Home Health & ACOs
Will It Be About Patients This Time?
Good riddance: United finally gives up on ACA marketplaces
The HealthCare Problem: Why Can’t We Find a Solution?

Credentialing/re-credentialing practitioners is a labor intensive activity and it’s not only Medical Staff professionals who feel the pain. Practitioners also feel the pain of taking hours over the course of days to sign, submit their credentialing information and answer attestation questions. Practitioners would rather spend this time treating patients, which also translates into increased revenues for a facility, and spending less time having to deal with mounds of paperwork.

The impact of errors

Mistakes on credentialing applications can mean delays with credentialing, privileging and enrolling practitioners into plans. It also means staff needs to spend time investigating and correcting mistakes and/or omissions.

Cost of Delayed Enrollments

Credentialing processes that rely on paper have a higher chance of delaying enrollments. This can result in a practitioner not being able to accept a patient or having a claim denied.  Enrollment delays are costly and many times they can be avoided.

Patient Impact

Ensuring practitioners are enrolled or re-enrolled into plans in a timely manner is critical because patients are also impacted by delays. Consider the frustrated patient who’s just been informed that their provider is no longer enrolled in their plan.  Or consider the patient whose pharmacist has just informed him or her that their prescription can’t be filled because their doctor’s DEA license expired.

Employee’s Expectations

One less obvious and often overlooked cost of credentialing errors is the impact these can have on the morale of the people who matter most, your employees.  Medical staffing professionals strive for excellence and their organizations expect them to operate at the highest standards. When an organization proactively prevents costly mistakes this results in wins for everyone – staff, providers, and the organization as whole.  Leveraging the right tool(s) can be instrumental in being able to meet everyone’s high expectations.

Financial Implications

Administration personnel spend excessive amounts of time completing paper applications, practitioners spend inordinate amounts of time signing documents, credentialing specialists laboring to investigate and rework applications, enrollments are delayed…..the list can go on and these all have a financial impact.  

There is better way

Eliminating paper, automating activities and streamlining provider onboarding, credentialing and payer enrollment process cuts down on costly errors and saves significant dollars, Can credentialing mistakes still occur? Yes, but with I-Enroll these can be kept to a minimum.  It’s the solution that more organizations are now looking towards to bring their provider management capabilities into the 21st century.

If you would like information on how your organization can improve all aspects of how it manages and maintains its provider information and documentation, contact one of our I-Enroll Evangelists today or call us at 732-658-0072- Extension 303.   

Reach out and we’ll shed light on how I-Enroll reduce errors, eliminates paper, streamlines processes, increase productivity and improves bottom lines.

TAGGED:credentialhealth care policyhealth insuranceonboarding
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

Clinical Expertise
Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
Health care
May 18, 2025
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Health
May 15, 2025
Learn how to Renew your Medical Card in West Virginia
Learn how to Renew your Medical Card in West Virginia
Health
May 15, 2025
Dr. Klaus Rentrop Shares Acute Myocardial Infarction heart treatment
Dr. Klaus Rentrop Shares Acute Myocardial Infarction
Cardiology
May 13, 2025

You Might also Like

Hospitals May Not Be Ready for ICD-10

October 8, 2013
pfizer and clinical data transparency
BusinessMedical RecordsPolicy & Law

Pfizer to Expand Clinical Trial Data Access, Takes Step Toward Transparency

December 6, 2013
EHR and meaningful use
Hospital Administration

How Safe Is Your Hospital?

April 20, 2011
Global HealthcareHealth care

What Healthcare Entrepreneurs Can Learn From The Coronavirus Outbreak

January 29, 2020
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?