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 due to the volume of provider data updates and the time it takes to maintain changes, required by CMS, to the provider directory. Virsys12 is aware of the difficulties associated with provider lifecycle management in healthcare, so we have compiled a list of four simple tips to boost your employees’ morale and workday efficiencies while also better engaging with your provider. We believe these 4 tips will help you succeed in keeping your providers happy!
The Right Technology
Our first tip to keep your provider in network team happy is to find the right technology. Finding the right provider network management (PNM) and provider lifecycle management (PLM) system is imperative to have productive workdays at your organization. The right application can assist your provider onboarding and credentialing team by automating processes resulting in increased efficiency for your employees. Extending your enterprise technology into a provider lifecycle management (PLM) solution allows seamless handoff to contracting, and fee schedule payment methodology setup streamlines the process for claims payment setup. Incorporating the right technology into your everyday tasks also keeps employees happy because they will no longer have to spend hours and hours performing monotonous tasks and risking dropping the ball due to a breakdown in communication between departments. By empowering your employees with an enterprise PNM and PLM application, you enable them to spend the workday doing tasks that actually propel the success and growth of your business.
Our second tip for managing your provider network is understanding the importance of implementation. The process of implementing a new PNM and PLM solution into your process workflow can seem daunting because it requires bringing in change of day-to-day tasks. Therefore, it is important to make informed decisions concerning how to go about implementation. This can be achieved by conducting thorough discovery and ensuring the implementation partner fully understands the client’s current workflow and the industry use cases around the PLM process. Then, the partner can combine their understanding of your current process with their knowledge of what is possible to make the best decision about how to proceed with implementation.
Our third tip for your organization as it aims to keep its providers in your network happy is to customize each workflow to you day-to-day activities by specific provider type, network type, etc. From initial provider outreach to credentialing to contracting, it is important to customize your PNM solution to your specific processes. You can keep your providers and employees happy and productive by working with them to customize how the system will look and work to meet their needs. By doing this, you also ensure that there is a common end goal to efficiently work toward together.
Our final tip for managing your provider network relates to reporting. The task of data reporting can be intimidating due to the fact that it is quite tedious. Siloed systems, spreadsheets, and documents can impede your organization’s ability to streamline processes and be efficient. A robust PNM and PLM solution built on a CRM platform eliminates these silos of data and allows for real-time reporting in your most critical provider and member data. Giving your providers in network the ability to see their communications, credentialing cases, and utilization reports allows them access to the most up to date information across the organization, which can be especially crucial in healthcare.
Use Virsys12 to Keep Your Provider in Network Happy
The combination of Virsys12’s V12 Network application and Salesforce Health Cloud can manage the most complex network assignment and provider directory requirements with quick return on investment (ROI). Our V12 IPD (Intelligent Provider Directory) can alert to changes in the providers profile that may affect the accuracy of the provider directory. The use of technology such as this is crucial to ready your organization to comply with the new CMS mandates on provider directory accuracy.
Our implementation services will get you started quickly. We also help you customize our system to your company’s needs. If you need the extra help, we also provide Salesforce Support to train your staff how to utilize the system and prevent the troubleshooting process. Our high-level, long-range planning strategies set you up for success, not just for right now, but for the future of your company.