Why Centralized Verification Makes Sense

In recent years, the great emphasis placed on providing quality patient care has increased the responsibility of all health care providers. The practitioner appointment or credentialing process currently requires an exhaustive task of gathering and verifying all background data and reference information on an applicant in order to assure that privileges are granted only to qualified individuals. Hospital medical staff professionals are overworked. They have to find ways to work smarter, quicker and more efficient.

Most physicians apply for membership to several health care facilities and organizations so that the credentialing process is duplicated a number of times. CCVS assists providers and organizations with the complex, detailed and time consuming aspects of the primary source verification of physician and other provider credentials. Results of a recent survey estimated that a health care entity spends $400.50 to process and initial appointment. On average, we execute about 21 letters (usually more) for each applicant during the appointment process. When you multiply that figure by three to five facilities, it is easy to see how a centralized service can save both money and time.

A solution to this "paper chase" is our medical society centralized verification service that offers a single source for the comprehensive, uniform, state-of-the-art verification and distribution of an applicant's background information for initial application, reappointment and recredentialing.

Though medical society programs vary in the services provided and the process used, Centralized Verification Collection Services are usually organized in such a way that an applicant provides the background information to the service, the credentialing service completes the verification process and provides the information to its contracted organizations.

All information verified by CCVS is strictly confidential and released only with prior permission by the physician or health care provider being credentialed. Both the practitioner and the facility must authorize the verification process before the credentialing information is processed and distributed. Credentialing Services exist only to verify and provide copies of the documentation it receives. CCVS does not make credentialing decisions for organizations, but it does make the process easier by doing the detailed paperwork required for such decisions. Health care facilities still maintain the decision-making authority to grant or deny privileges.

All parties involved in the service benefit. Medical Societies enhance services for its members and promote the image of the organization as an important link between the practitioner and the health organizations. Facilities streamline and improve their credentialing process while saving time and money spent verifying the information, allowing their valuable staff services personnel to perform other essential duties.

Practitioners also benefit from the centralized approach. Because one standard application is used for all facilities the applicant's office only receives one phone call or letter for information, rather than multiple requests. Reducing duplication and streamlining the appointment process creates a WIN, WIN, WIN situation for the practitioner, the health care facility and the medical society.

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