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
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
  • 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
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

Ideas for Sustainable Health Bloom in the Arizona Desert
Healthcare Providers Explore New Steps to Minimize Delinquent Accounts
Indiana Seeks Exemption from Key ACA Provision
Don’t Forget Importance of Trust, Listening in Healthcare Delivery
Preventing Contamination In Healthcare Facilities Starts With Hygiene

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

dental care
Importance of Good Dental Care for Health and Confidence
Dental health Specialties
October 2, 2025
AI in Healthcare
AI in Healthcare: Technology is Transforming the Global Landscape
Global Healthcare Policy & Law Technology
October 1, 2025
Choosing the Right Swimwear for Health and Safety
News
September 30, 2025
sports concussions
Concussion In Sports: How Common They Are And What You Need To Know
Infographics
September 28, 2025

You Might also Like

Medicaid Expansion: Poor States Are Subsidizing Rich Ones

September 6, 2014
Healthcare Providers
Global Healthcare

How Preventative Care Benefits Healthcare Providers

July 23, 2023
Health careSpecialties

How To Know If You’re At Risk For Cancer

March 14, 2019
Certified nurses
Global Healthcare

Why We Need More Nurse Practitioners

August 25, 2019
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?