Maximizing ROI with Virsys12: Real Success Stories and Powerful Tools

maximize roi

In today’s fast-paced healthcare environment, efficiency and accuracy are crucial. At Virsys12, we are committed to providing solutions that not only streamline workflows but also deliver significant returns on investment. We are excited to highlight some of the remarkable successes our clients have achieved, introduce our powerful ROI Calculator, and share insights on the benefits […]

Key Takeaways on Combating Siloed Data in Healthcare

combating siloed data

Efficient data exchange is crucial in today’s healthcare landscape, yet the industry grapples with siloed data—information trapped within different departments, systems, or organizations. This fragmentation hinders collaboration and optimal patient care. My recent article in Forbes, “Unraveling The Chaos: How Siloed Provider Directory Data Undermines Pricing Transparency,” takes a look at this issue. Here are […]

Q&A with Peter Schmidt, Virsys12 Chief Customer Officer

Navigating the Evolution of Provider Network Management: Q&A with Peter Schmidt, Virsys12 Chief Customer Officer (CCO) As a seasoned professional in the Provider Network Management (PNM) arena, Peter Schmidt sheds a light on the industry’s transformative journey and Virsys12’s pivotal role in shaping its trajectory. From your experience in the PNM space, what have been […]

The Role of Incorrect Provider Directories in Surprise Medical Billing

surprise medical billing

Imagine visiting a doctor you believe is covered by your insurance, only to later receive an unexpected, hefty bill. Sound familiar? You’ve fallen victim to surprise medical billing. And a significant culprit behind this issue is inaccurate provider directories. Surprise medical billing occurs when you visit a doctor you think is part of your insurance […]

Unveiling the Critical Role of Provider Data in Health Plan Operations

why provider data is key

In the dynamic landscape of healthcare, the accuracy and currency of provider data have become paramount for the survival of health plans.  My recent article in Forbes, “The Data Behind The Provider Directory: Why Provider Data Is Key,” delves into this topic and the crucial role of provider data in optimizing workflows, ensuring precise claims […]

Q&A with Virsys12’s CTO, Seth Hobgood

Seth Hobgood

What are you most excited to be working on this year at Virsys12? This year, a key focus for us is enhancing our V12 Provider Data Engine (PDE) product to tackle the challenge of ever-changing provider data in healthcare organizations. This application processes data from various provider data sources, including provider demographics, provider taxonomies and […]

Healthcare on Overdrive: Why an Enterprise Provider Data Strategy is a Must for Health Plans

provider data strategy

In the ever-evolving landscape of healthcare, where labor costs intensify and regulatory complexities surround provider networks and directories, health plans find themselves at a crucial juncture. The need to reimagine their approach to working with providers has never been more apparent. Fragmented engagement, siloed data, and disparate systems are becoming obsolete and unmanageable. To navigate […]

Five Reasons Companies Struggle With CRM Implementations

Tammy Hawes, CEO, and Founder of Virsys12, explores the hurdles organizations face in successfully implementing CRM systems in her Forbes Technology Council article. While CRM systems offer the promise of improved customer relationships and streamlined processes, Hawes identifies five common reasons behind implementation struggles. These include insufficient executive support and employee buy-in, the temptation to […]

How to Build Better Behavioral Health Networks

behavioral health

Healthcare Business Today More than 50 million Americans live with or experience mental illness, according to Mental Health America. This leads to increased disability claims, missed experiences, premature death and even suicide. It’s a problem that needs a solution. Thankfully, recent legislation and federal investments have been made in pursuit of better support and resources […]

Why Provider Network Management Is Important For Health Plans In 2023

regulatory requirements

Before founding Virsys12, I started my career as a software developer in healthcare and ultimately held rolls as a CTO and CIO. It was evident to me that there was room for improvement in the automation of business processes in healthcare to eliminate waste and improve efficiencies. We believe there is no better place to […]

How to Improve Patient Engagement for Healthcare System Success

improve patient engagement

If we truly want a healthcare system in America that’s both effective and efficient, we should focus on patient engagement, in which clinicians communicate clearly with patients and patients share in making decisions and managing their conditions. This means that providers must make the effort to get to know their patients, communicate honestly with them […]

Why We Should Embrace Digital Healthcare

digital healthcare

It’s a truism that the pandemic dramatically sped up the digitizing of our lives, with the ubiquity of teleconferencing today being the most obvious manifestation of this trend. But that’s just the tip of the iceberg. Perhaps the most dramatic change has been the rise of digital healthcare–and this is good news for all of […]

How Building Behavioral Health Networks Can Help Solve the Mental Health Crisis

building behavioral health networks

Almost one in five American adults live with a mental illness, up to 51.5 million people in 2019, according to Mental Health America. Depression is one of the leading causes of disability, and people with severe mental health diagnoses die two decades prematurely. The mental health crisis is even more dire for young adults in […]

Moving Enterprise Systems to the Cloud is Key in Eliminating Waste

moving enterprise systems

According to a study published in JAMA, 20-25% of healthcare spending is wasteful, costing at least $760 billion per year. Administrative waste, the excess overhead that occurs primarily due to the complexities between providers and payers including time devoted to billing and reporting, is the largest area of waste and accounts for $266 billion a […]

Virsys12 + Becker’s Hospital Review Webinar

The success of payer-provider partnerships depends on a new level of collaboration. Keeping up with the expectations of members and patients regarding how they access, engage and experience healthcare requires a new type of partnership. At Virsys12, we believe clean, accurate provider data plays a critical role in transforming the business of healthcare. This webinar […]

Keep Your Providers in Network Happy

When it comes to building and managing a provider directory in healthcare, the provider network can be complicated, especially because it must be kept compliant and up to date. Your provider onboarding and credentialing team try their best to juggle it all, but it can be easy for them to fall short. This is largely […]

What ACOs Need to Know to Meet the Demands of ACO REACH and Unlock its Benefits


In an effort to lower healthcare costs and improve quality of care and access to care, the Centers for Medicare and Medicaid Services (CMS) Innovation Center recently cancelled the Geographic Direct Contracting Model and is phasing out the Global and Professional Direct Contracting Models (GPDC) at the end of 2022. Participants that meet requirements will […]

5 Ways Providers are Transforming the Patient Experience with Salesforce

5 Ways Providers are Transforming the Patient Experience with Salesforce Health Cloud The widening affordability gap and the rise in high-deductible health plans have pushed patients to assume more responsibility for their medical costs. With this additional responsibility, consumers have taken a more active role in their clinical journey. Patients are paying more for care […]

Virsys12 + ProviderTrust Webinar

Best-in-Class Provider Network Management

Executive leadership from ProviderTrust and Virsys12 discuss managing the complexities of provider data and network management for providers and payers. From onboarding and recruiting to contract negotiations to setup of reimbursement models for claims payments, we explore the challenges that face payers and providers across the provider lifecycle and how best to manage in 2022 […]

Accelerating Healthcare Innovation With Cloud Data Analytics

healthcare innovation with cloud data

Accelerating Healthcare Innovation With Cloud Data Analytics Cloud technology, machine learning, and in-depth analytics across the healthcare industry are redefining patient care, patient experience, provider experience, and innovation. Learn about the latest trends in healthcare cloud solutions and analytics and how they’re fueling the next wave of healthcare innovation. 3 Ways Cloud Computing Will Redefine […]

Improve Claims Payment Integrity and Reduce Provider Burnout

improve claims payment integrity

Why Is Accurate Provider Claims Payment Difficult for Healthcare Payers? Claims processing for payers is a complex process with combination of value based and fee for service models, market expansions, and acquisitions. This process also often requires multiple disparate systems. After layering on the constant changes to provider data and the process to onboard, credential, […]

How Healthcare Companies are Taking Advantage of Intelligent Automation

Healthcare Companies are Taking Advantage of Intelligent Automation One thing that healthcare has an abundance of is required forms to be completed… tons of forms. It seems as though every time you go to the doctor, they ask you to fill out the same stack of forms again and again and again. Salesforce recently announced […]

Get More From Digital Engagement in Healthcare

Is Digital 360 worth the hype? The short answer is “absolutely”. Virsys12 has been in the Salesforce ecosystem for nearly 10 years, and during that time we’ve completed almost 1,000 projects focused primarily on the healthcare industry. Our clients are always looking for better ways to keep healthcare consumers engaged and up to date. From […]

Complex Relationships with Providers in Healthcare

complex relationships with providers

Healthcare organizations have complex relationships with their providers and there are solutions to help with tracking all the steps in Provider Lifecycle Management. Cloud-based technology like Salesforce is available to automate the process of onboarding providers, streamline documentation associated with credentialing and contracting. Salesforce is the digital solution every healthcare organization needs for more productive […]

How To Efficiently Maintain Healthcare Relationship Management

efficiently maintain healthcare relationships

Using a Transformative Digital Landscape to Accelerate ROI The digital landscape went from separate spreadsheets and documents to taking all those items necessary to communicate in a cohesive way with patients and health plan members in a cloud system like Salesforce. Also, knowing medical conditions and preferences about patients and members is critical for organizations […]

Why Salesforce is Right for Healthcare Database Management

Database management

Salesforce Database Data isn’t just at the center of your business, it’s at the heart of everything you do, and that’s never been truer than in today’s environment. As data has gotten bigger, the challenge of managing it has grown along with it. That’s why Salesforce is right for healthcare database management.  In the healthcare […]

Kroger Health’s Approach to Helping Us Lead Healthy Lives

Leadership Health Care February Luncheon

Last week, Virsys12 had the privilege of sponsoring the Nashville Healthcare Council’s February Leadership Healthcare Lunch & Learn event featuring Kroger’s Chief Medical Officer, Marc Watkins, M.D. Dr. Watkins joined Kroger Health in 2015 as Vice President and Medical Director of The Little Clinic. Prior to joining Kroger Health, Dr. Watkins spent six years with […]

How Technology Can Keep You On Track in 2020

What tools will help you in 2020?

How are your New Year’s resolutions panning out? If you’re struggling to stick with them, well, at least you can take some comfort in knowing you’re not alone. In fact, you have lots of company. One survey found that just 4% of people who made a New Year’s resolution in 2018 said they kept them. […]

So, You Want to Be a Consultant?

The lucrative world of consulting can be highly alluring for some personality types.  The promises of work from home (in your pj’s), flexible scheduling, company travel, exposure to a variety of business models and concepts, and the ability to work with people all over the world are all some of the reasons people get into […]