SlideShare a Scribd company logo
1 of 7
Road Blocks
In
Credentialing
www.ecareindia.com
Intoduction
 Physician Credentialing Service is a cumbersome process
which requires us to gather a large amount of information
regarding a healthcare professional with a holistic
approach to deduce the authenticity of the information
prior to submitting it to the concerned parties for
processing.
 An efficient Credentialing process will shed light on a
variety of underlying items about a healthcare
professional’s history.
 This would aid us in revealing a pattern and help us in
identifying the root cause of some disruptions like, when
they provide us with inadequate expertise to perform their
basic responsibilities and provide contradicting evidence
which leaves us stranded when trying to correlate the
authenticity of their professional competence.
www.ecareindia.com
Listed below are some road blocks to be vigilant while
credentialing any healthcare professional.
 Questionable breaks in Work History and reluctant to
provide previous employers or organizations contact
information for verification.
 Failure to provide functional peer references or peer
references revealing contradicting information upon
establishing contact regarding the applicant.
 Failure to provide adequate quality of care to members
and unprofessional conduct which led to frequent
resignations & short tenures at various Healthcare
Organizations.
 Failure to provide full disclosure regarding any adverse
actions, pending sanctions or revocation placed on their
State Licenses/Board Certifications.
www.ecareindia.com
 Inconceivable level of timeframe consumed to complete
the obligatory trainings and corrective actions required by
the state licensing body to re-claim their licensing
privileges.
 Furnishing irrelevant training or proficiencies
corresponding to the privileges applied which led to
withdrawal of Hospital Privileges and affiliation.
 Malpractice Insurance coverage from numerous agencies
with inadequate coverage amounts and multiple gaps in
coverage and not disclosing pending lawsuits voluntarily.
 Remarkably high number of malpractice lawsuits, actions
and judgments filed against the Healthcare professional
which reveals their level of professional conduct or
potential deficiency.
www.ecareindia.com
ABOUT US
e-care’s Credentialing team
vigilantly follows an eye for detailed
approach so that a healthcare
professional meets all the criteria as
required by the Payer or Healthcare
Organization by reviewing the items
such as the individual’s license,
experience, certification, education,
training, affiliations, malpractice &
adverse clinical occurrences and
clinical judgment and bypass all the
road Blocks that could result in
interruption of the credentialing
process.
CREDITS: This presentation template was created
by Slidesgo, including icons by Flaticon and
infographics & images by Freepik.
THANKS
Do you have any questions?
info@ecareindia.com
+1 813 666 0028
www.ecareindia.com

More Related Content

What's hot

2012 how brochure
2012 how brochure2012 how brochure
2012 how brochurekyori1975
 
Resume of Peter Bump, MA
Resume of Peter Bump, MAResume of Peter Bump, MA
Resume of Peter Bump, MAPeter Bump
 
The Dangers of An Outdated EHR
The Dangers of An Outdated EHRThe Dangers of An Outdated EHR
The Dangers of An Outdated EHRLaura Slade
 
Brandy Ware Resume
Brandy Ware ResumeBrandy Ware Resume
Brandy Ware ResumeBrandy Ware
 
Medical Record Retrieval – Pain Points and How to Eliminate Them
Medical Record Retrieval – Pain Points and How to Eliminate ThemMedical Record Retrieval – Pain Points and How to Eliminate Them
Medical Record Retrieval – Pain Points and How to Eliminate Themmosmedicalreview
 
Lhh code of conduct 2018
Lhh code of conduct 2018Lhh code of conduct 2018
Lhh code of conduct 2018RuthWestwood2
 
7 Essentials to transform the healthcare experience and outcomes in growth co...
7 Essentials to transform the healthcare experience and outcomes in growth co...7 Essentials to transform the healthcare experience and outcomes in growth co...
7 Essentials to transform the healthcare experience and outcomes in growth co...MEDx eHealthCenter
 
HIMSS CPHIMS Certification - What It Can Do For You
HIMSS CPHIMS Certification - What It Can Do For YouHIMSS CPHIMS Certification - What It Can Do For You
HIMSS CPHIMS Certification - What It Can Do For YouACROSEAS Global Solutions
 
The Hitchhiker’s guide to 483s and warning letters
The Hitchhiker’s guide to 483s and warning lettersThe Hitchhiker’s guide to 483s and warning letters
The Hitchhiker’s guide to 483s and warning lettersAnita Anzo
 
Health data exchange made easy
Health data exchange made easyHealth data exchange made easy
Health data exchange made easyBethany Williams
 
Karen Hoyle professional resume
Karen Hoyle professional resumeKaren Hoyle professional resume
Karen Hoyle professional resumeKaren Hoyle
 
MONITORING YOUR CREDENTIALING EXPIRABLES
MONITORING YOUR CREDENTIALING EXPIRABLESMONITORING YOUR CREDENTIALING EXPIRABLES
MONITORING YOUR CREDENTIALING EXPIRABLESStatmed Care Solutions
 
Aia accreditation-program pre-survey-questionnaire
Aia accreditation-program pre-survey-questionnaireAia accreditation-program pre-survey-questionnaire
Aia accreditation-program pre-survey-questionnaireJosecarlos261159
 

What's hot (18)

2012 how brochure
2012 how brochure2012 how brochure
2012 how brochure
 
LG Brochure
LG BrochureLG Brochure
LG Brochure
 
How ICD-10 Impacts Prior Authorization
How ICD-10 Impacts Prior AuthorizationHow ICD-10 Impacts Prior Authorization
How ICD-10 Impacts Prior Authorization
 
Resume of Peter Bump, MA
Resume of Peter Bump, MAResume of Peter Bump, MA
Resume of Peter Bump, MA
 
The Dangers of An Outdated EHR
The Dangers of An Outdated EHRThe Dangers of An Outdated EHR
The Dangers of An Outdated EHR
 
Brandy Ware Resume
Brandy Ware ResumeBrandy Ware Resume
Brandy Ware Resume
 
Medical Record Retrieval – Pain Points and How to Eliminate Them
Medical Record Retrieval – Pain Points and How to Eliminate ThemMedical Record Retrieval – Pain Points and How to Eliminate Them
Medical Record Retrieval – Pain Points and How to Eliminate Them
 
We-All-Play-A-Role
We-All-Play-A-RoleWe-All-Play-A-Role
We-All-Play-A-Role
 
MedstarHealth
MedstarHealthMedstarHealth
MedstarHealth
 
Lhh code of conduct 2018
Lhh code of conduct 2018Lhh code of conduct 2018
Lhh code of conduct 2018
 
7 Essentials to transform the healthcare experience and outcomes in growth co...
7 Essentials to transform the healthcare experience and outcomes in growth co...7 Essentials to transform the healthcare experience and outcomes in growth co...
7 Essentials to transform the healthcare experience and outcomes in growth co...
 
HIMSS CPHIMS Certification - What It Can Do For You
HIMSS CPHIMS Certification - What It Can Do For YouHIMSS CPHIMS Certification - What It Can Do For You
HIMSS CPHIMS Certification - What It Can Do For You
 
The Hitchhiker’s guide to 483s and warning letters
The Hitchhiker’s guide to 483s and warning lettersThe Hitchhiker’s guide to 483s and warning letters
The Hitchhiker’s guide to 483s and warning letters
 
Health data exchange made easy
Health data exchange made easyHealth data exchange made easy
Health data exchange made easy
 
Karen Hoyle professional resume
Karen Hoyle professional resumeKaren Hoyle professional resume
Karen Hoyle professional resume
 
MONITORING YOUR CREDENTIALING EXPIRABLES
MONITORING YOUR CREDENTIALING EXPIRABLESMONITORING YOUR CREDENTIALING EXPIRABLES
MONITORING YOUR CREDENTIALING EXPIRABLES
 
Aia accreditation-program pre-survey-questionnaire
Aia accreditation-program pre-survey-questionnaireAia accreditation-program pre-survey-questionnaire
Aia accreditation-program pre-survey-questionnaire
 
MedClaim Alliance
MedClaim AllianceMedClaim Alliance
MedClaim Alliance
 

Similar to Road blocks in credentialing

Provider Credentialing - Overview and Checklist
Provider Credentialing - Overview and ChecklistProvider Credentialing - Overview and Checklist
Provider Credentialing - Overview and ChecklistJessica Parker
 
Streamlining Medical Provider Enrollment The Importance of Medical Credential...
Streamlining Medical Provider Enrollment The Importance of Medical Credential...Streamlining Medical Provider Enrollment The Importance of Medical Credential...
Streamlining Medical Provider Enrollment The Importance of Medical Credential...Instapay Healthcare Services
 
Unlocking the Essentials Healthcare Provider and Medical Billing Credentialin...
Unlocking the Essentials Healthcare Provider and Medical Billing Credentialin...Unlocking the Essentials Healthcare Provider and Medical Billing Credentialin...
Unlocking the Essentials Healthcare Provider and Medical Billing Credentialin...Instapay Healthcare Services
 
Top 5 Reasons Why Medical Credentialing Services Are Vital for Healthcare Pro...
Top 5 Reasons Why Medical Credentialing Services Are Vital for Healthcare Pro...Top 5 Reasons Why Medical Credentialing Services Are Vital for Healthcare Pro...
Top 5 Reasons Why Medical Credentialing Services Are Vital for Healthcare Pro...Instapay Healthcare Services
 
Unlocking Excellence The Power of Healthcare Provider Credentialing for Quali...
Unlocking Excellence The Power of Healthcare Provider Credentialing for Quali...Unlocking Excellence The Power of Healthcare Provider Credentialing for Quali...
Unlocking Excellence The Power of Healthcare Provider Credentialing for Quali...Instapay Healthcare Services
 
Mastering the Art of Healthcare Provider Credentialing A Step-by-Step Approac...
Mastering the Art of Healthcare Provider Credentialing A Step-by-Step Approac...Mastering the Art of Healthcare Provider Credentialing A Step-by-Step Approac...
Mastering the Art of Healthcare Provider Credentialing A Step-by-Step Approac...Instapay Healthcare Services
 
What is Credentialing in Healthcare_ A Comprehensive Guide to Understanding I...
What is Credentialing in Healthcare_ A Comprehensive Guide to Understanding I...What is Credentialing in Healthcare_ A Comprehensive Guide to Understanding I...
What is Credentialing in Healthcare_ A Comprehensive Guide to Understanding I...Cosentus
 
Provider Credentialing Process Flow Chart.pdf
Provider Credentialing Process Flow Chart.pdfProvider Credentialing Process Flow Chart.pdf
Provider Credentialing Process Flow Chart.pdfScottFeldberg
 
Provider Credentialing Process Flow Chart.pptx
Provider Credentialing Process Flow Chart.pptxProvider Credentialing Process Flow Chart.pptx
Provider Credentialing Process Flow Chart.pptxScottFeldberg
 
Simplify Your Medical Credentialing Process with Instapay Healthcare Services...
Simplify Your Medical Credentialing Process with Instapay Healthcare Services...Simplify Your Medical Credentialing Process with Instapay Healthcare Services...
Simplify Your Medical Credentialing Process with Instapay Healthcare Services...Instapay Healthcare Services
 
All You Want To Know About Credentialing Re-Credentialing.pptx
All You Want To Know About Credentialing Re-Credentialing.pptxAll You Want To Know About Credentialing Re-Credentialing.pptx
All You Want To Know About Credentialing Re-Credentialing.pptxDanny Johnsmith
 
All You Want To Know About Credentialing Re-Credentialing.pdf
All You Want To Know About Credentialing Re-Credentialing.pdfAll You Want To Know About Credentialing Re-Credentialing.pdf
All You Want To Know About Credentialing Re-Credentialing.pdfDanny Johnsmith
 
Insurance Credentialing Services Simplifying the Medical Credentialing Proces...
Insurance Credentialing Services Simplifying the Medical Credentialing Proces...Insurance Credentialing Services Simplifying the Medical Credentialing Proces...
Insurance Credentialing Services Simplifying the Medical Credentialing Proces...Instapay Healthcare Services
 
Unlock Success The Ultimate Guide to Medical Provider Credentialing Services.pdf
Unlock Success The Ultimate Guide to Medical Provider Credentialing Services.pdfUnlock Success The Ultimate Guide to Medical Provider Credentialing Services.pdf
Unlock Success The Ultimate Guide to Medical Provider Credentialing Services.pdfInstapay Healthcare Services
 
Medical Credentialing Services and Provider Enrollment Ensuring Excellence wi...
Medical Credentialing Services and Provider Enrollment Ensuring Excellence wi...Medical Credentialing Services and Provider Enrollment Ensuring Excellence wi...
Medical Credentialing Services and Provider Enrollment Ensuring Excellence wi...Instapay Healthcare Services
 
Streamlining Medical Credentialing Services for Optimal Healthcare
Streamlining Medical Credentialing Services for Optimal HealthcareStreamlining Medical Credentialing Services for Optimal Healthcare
Streamlining Medical Credentialing Services for Optimal HealthcareInstapay Healthcare Services
 
Physician provider credentialing what is it and why is it important
Physician provider credentialing what is it and why is it importantPhysician provider credentialing what is it and why is it important
Physician provider credentialing what is it and why is it importantMGSI - Medical Group Services
 

Similar to Road blocks in credentialing (20)

Provider Credentialing - Overview and Checklist
Provider Credentialing - Overview and ChecklistProvider Credentialing - Overview and Checklist
Provider Credentialing - Overview and Checklist
 
Streamlining Medical Provider Enrollment The Importance of Medical Credential...
Streamlining Medical Provider Enrollment The Importance of Medical Credential...Streamlining Medical Provider Enrollment The Importance of Medical Credential...
Streamlining Medical Provider Enrollment The Importance of Medical Credential...
 
Unlocking the Essentials Healthcare Provider and Medical Billing Credentialin...
Unlocking the Essentials Healthcare Provider and Medical Billing Credentialin...Unlocking the Essentials Healthcare Provider and Medical Billing Credentialin...
Unlocking the Essentials Healthcare Provider and Medical Billing Credentialin...
 
Top 5 Reasons Why Medical Credentialing Services Are Vital for Healthcare Pro...
Top 5 Reasons Why Medical Credentialing Services Are Vital for Healthcare Pro...Top 5 Reasons Why Medical Credentialing Services Are Vital for Healthcare Pro...
Top 5 Reasons Why Medical Credentialing Services Are Vital for Healthcare Pro...
 
Red Flags - One Page - updated 010817
Red Flags - One Page - updated 010817Red Flags - One Page - updated 010817
Red Flags - One Page - updated 010817
 
Unlocking Excellence The Power of Healthcare Provider Credentialing for Quali...
Unlocking Excellence The Power of Healthcare Provider Credentialing for Quali...Unlocking Excellence The Power of Healthcare Provider Credentialing for Quali...
Unlocking Excellence The Power of Healthcare Provider Credentialing for Quali...
 
Credentialing for Physicians.pdf
Credentialing for Physicians.pdfCredentialing for Physicians.pdf
Credentialing for Physicians.pdf
 
Mastering the Art of Healthcare Provider Credentialing A Step-by-Step Approac...
Mastering the Art of Healthcare Provider Credentialing A Step-by-Step Approac...Mastering the Art of Healthcare Provider Credentialing A Step-by-Step Approac...
Mastering the Art of Healthcare Provider Credentialing A Step-by-Step Approac...
 
What is Credentialing in Healthcare_ A Comprehensive Guide to Understanding I...
What is Credentialing in Healthcare_ A Comprehensive Guide to Understanding I...What is Credentialing in Healthcare_ A Comprehensive Guide to Understanding I...
What is Credentialing in Healthcare_ A Comprehensive Guide to Understanding I...
 
Provider Credentialing Process Flow Chart.pdf
Provider Credentialing Process Flow Chart.pdfProvider Credentialing Process Flow Chart.pdf
Provider Credentialing Process Flow Chart.pdf
 
Provider Credentialing Process Flow Chart.pptx
Provider Credentialing Process Flow Chart.pptxProvider Credentialing Process Flow Chart.pptx
Provider Credentialing Process Flow Chart.pptx
 
Simplify Your Medical Credentialing Process with Instapay Healthcare Services...
Simplify Your Medical Credentialing Process with Instapay Healthcare Services...Simplify Your Medical Credentialing Process with Instapay Healthcare Services...
Simplify Your Medical Credentialing Process with Instapay Healthcare Services...
 
All You Want To Know About Credentialing Re-Credentialing.pptx
All You Want To Know About Credentialing Re-Credentialing.pptxAll You Want To Know About Credentialing Re-Credentialing.pptx
All You Want To Know About Credentialing Re-Credentialing.pptx
 
All You Want To Know About Credentialing Re-Credentialing.pdf
All You Want To Know About Credentialing Re-Credentialing.pdfAll You Want To Know About Credentialing Re-Credentialing.pdf
All You Want To Know About Credentialing Re-Credentialing.pdf
 
Insurance Credentialing Services Simplifying the Medical Credentialing Proces...
Insurance Credentialing Services Simplifying the Medical Credentialing Proces...Insurance Credentialing Services Simplifying the Medical Credentialing Proces...
Insurance Credentialing Services Simplifying the Medical Credentialing Proces...
 
Unlock Success The Ultimate Guide to Medical Provider Credentialing Services.pdf
Unlock Success The Ultimate Guide to Medical Provider Credentialing Services.pdfUnlock Success The Ultimate Guide to Medical Provider Credentialing Services.pdf
Unlock Success The Ultimate Guide to Medical Provider Credentialing Services.pdf
 
Medical Credentialing Services and Provider Enrollment Ensuring Excellence wi...
Medical Credentialing Services and Provider Enrollment Ensuring Excellence wi...Medical Credentialing Services and Provider Enrollment Ensuring Excellence wi...
Medical Credentialing Services and Provider Enrollment Ensuring Excellence wi...
 
Streamlining Medical Credentialing Services for Optimal Healthcare
Streamlining Medical Credentialing Services for Optimal HealthcareStreamlining Medical Credentialing Services for Optimal Healthcare
Streamlining Medical Credentialing Services for Optimal Healthcare
 
Resume
ResumeResume
Resume
 
Physician provider credentialing what is it and why is it important
Physician provider credentialing what is it and why is it importantPhysician provider credentialing what is it and why is it important
Physician provider credentialing what is it and why is it important
 

More from ecare India

Benefits of Outsourcing Medical Coding Services-ecare.pptx
Benefits of Outsourcing Medical Coding Services-ecare.pptxBenefits of Outsourcing Medical Coding Services-ecare.pptx
Benefits of Outsourcing Medical Coding Services-ecare.pptxecare India
 
INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...
INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...
INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...ecare India
 
Benefits of Outsourcing AR Management
Benefits of Outsourcing AR ManagementBenefits of Outsourcing AR Management
Benefits of Outsourcing AR Managementecare India
 
Gastroenterology Practice Increases Collection with ecare’s Regular Follow up...
Gastroenterology Practice Increases Collection with ecare’s Regular Follow up...Gastroenterology Practice Increases Collection with ecare’s Regular Follow up...
Gastroenterology Practice Increases Collection with ecare’s Regular Follow up...ecare India
 
Medical Billing Company Reduces Anesthesia Denial Ratio with ecare Support – ...
Medical Billing Company Reduces Anesthesia Denial Ratio with ecare Support – ...Medical Billing Company Reduces Anesthesia Denial Ratio with ecare Support – ...
Medical Billing Company Reduces Anesthesia Denial Ratio with ecare Support – ...ecare India
 
Clearing House Mistakes Impact Practice Revenue Ecare’s RCA approach helps C...
Clearing House Mistakes Impact Practice Revenue  Ecare’s RCA approach helps C...Clearing House Mistakes Impact Practice Revenue  Ecare’s RCA approach helps C...
Clearing House Mistakes Impact Practice Revenue Ecare’s RCA approach helps C...ecare India
 
e-care helps fix “Podiatry Billing” Challenges & Generate More Revenue!
e-care helps fix “Podiatry Billing” Challenges & Generate More Revenue!e-care helps fix “Podiatry Billing” Challenges & Generate More Revenue!
e-care helps fix “Podiatry Billing” Challenges & Generate More Revenue!ecare India
 
Looking for Denial Management and Accounts Receivable Specialist? Reach out t...
Looking for Denial Management and Accounts Receivable Specialist? Reach out t...Looking for Denial Management and Accounts Receivable Specialist? Reach out t...
Looking for Denial Management and Accounts Receivable Specialist? Reach out t...ecare India
 
Fix your RCM Challenges with e-care’s Root Cause Analysis Process
Fix your RCM Challenges with e-care’s Root Cause Analysis ProcessFix your RCM Challenges with e-care’s Root Cause Analysis Process
Fix your RCM Challenges with e-care’s Root Cause Analysis Processecare India
 
Did You Know You Can Enhance Your RCM with Google Workflow? Read below Case S...
Did You Know You Can Enhance Your RCM with Google Workflow? Read below Case S...Did You Know You Can Enhance Your RCM with Google Workflow? Read below Case S...
Did You Know You Can Enhance Your RCM with Google Workflow? Read below Case S...ecare India
 
Cardiology Practice Increases 38% in one Month with e-care’s RCM Support
Cardiology Practice Increases 38% in one Month with e-care’s RCM SupportCardiology Practice Increases 38% in one Month with e-care’s RCM Support
Cardiology Practice Increases 38% in one Month with e-care’s RCM Supportecare India
 
FQHC Denial Management Solution for Aging AR and Financial Loses
FQHC Denial Management Solution for Aging AR and Financial LosesFQHC Denial Management Solution for Aging AR and Financial Loses
FQHC Denial Management Solution for Aging AR and Financial Losesecare India
 
Solution for E2E RCM Service Provider Radiology Practice
Solution for E2E RCM Service Provider Radiology Practice Solution for E2E RCM Service Provider Radiology Practice
Solution for E2E RCM Service Provider Radiology Practice ecare India
 
With e-care’s end to end RCM Services; Cardiology Practice in TX Increases Co...
With e-care’s end to end RCM Services; Cardiology Practice in TX Increases Co...With e-care’s end to end RCM Services; Cardiology Practice in TX Increases Co...
With e-care’s end to end RCM Services; Cardiology Practice in TX Increases Co...ecare India
 
Solution on Anesthesia Coding Challenges with Increased Collections & Revenue...
Solution on Anesthesia Coding Challenges with Increased Collections & Revenue...Solution on Anesthesia Coding Challenges with Increased Collections & Revenue...
Solution on Anesthesia Coding Challenges with Increased Collections & Revenue...ecare India
 
Why is Revenue Cycle Outsourcing Important in Healthcare.pptx
Why is Revenue Cycle Outsourcing Important in Healthcare.pptxWhy is Revenue Cycle Outsourcing Important in Healthcare.pptx
Why is Revenue Cycle Outsourcing Important in Healthcare.pptxecare India
 
Understand Medical Record Indexing process and its Outsourcing Benefits.pptx
Understand Medical Record Indexing process and its Outsourcing Benefits.pptxUnderstand Medical Record Indexing process and its Outsourcing Benefits.pptx
Understand Medical Record Indexing process and its Outsourcing Benefits.pptxecare India
 
Things to know about medical billing auditing
Things to know about medical billing auditingThings to know about medical billing auditing
Things to know about medical billing auditingecare India
 
How to strenghten revenue for asc practice ecare
How to strenghten revenue for asc practice   ecareHow to strenghten revenue for asc practice   ecare
How to strenghten revenue for asc practice ecareecare India
 
Simple Strategies to Boost Billing Efficiency Post-Covid
Simple Strategies to Boost Billing Efficiency Post-CovidSimple Strategies to Boost Billing Efficiency Post-Covid
Simple Strategies to Boost Billing Efficiency Post-Covidecare India
 

More from ecare India (20)

Benefits of Outsourcing Medical Coding Services-ecare.pptx
Benefits of Outsourcing Medical Coding Services-ecare.pptxBenefits of Outsourcing Medical Coding Services-ecare.pptx
Benefits of Outsourcing Medical Coding Services-ecare.pptx
 
INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...
INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...
INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...
 
Benefits of Outsourcing AR Management
Benefits of Outsourcing AR ManagementBenefits of Outsourcing AR Management
Benefits of Outsourcing AR Management
 
Gastroenterology Practice Increases Collection with ecare’s Regular Follow up...
Gastroenterology Practice Increases Collection with ecare’s Regular Follow up...Gastroenterology Practice Increases Collection with ecare’s Regular Follow up...
Gastroenterology Practice Increases Collection with ecare’s Regular Follow up...
 
Medical Billing Company Reduces Anesthesia Denial Ratio with ecare Support – ...
Medical Billing Company Reduces Anesthesia Denial Ratio with ecare Support – ...Medical Billing Company Reduces Anesthesia Denial Ratio with ecare Support – ...
Medical Billing Company Reduces Anesthesia Denial Ratio with ecare Support – ...
 
Clearing House Mistakes Impact Practice Revenue Ecare’s RCA approach helps C...
Clearing House Mistakes Impact Practice Revenue  Ecare’s RCA approach helps C...Clearing House Mistakes Impact Practice Revenue  Ecare’s RCA approach helps C...
Clearing House Mistakes Impact Practice Revenue Ecare’s RCA approach helps C...
 
e-care helps fix “Podiatry Billing” Challenges & Generate More Revenue!
e-care helps fix “Podiatry Billing” Challenges & Generate More Revenue!e-care helps fix “Podiatry Billing” Challenges & Generate More Revenue!
e-care helps fix “Podiatry Billing” Challenges & Generate More Revenue!
 
Looking for Denial Management and Accounts Receivable Specialist? Reach out t...
Looking for Denial Management and Accounts Receivable Specialist? Reach out t...Looking for Denial Management and Accounts Receivable Specialist? Reach out t...
Looking for Denial Management and Accounts Receivable Specialist? Reach out t...
 
Fix your RCM Challenges with e-care’s Root Cause Analysis Process
Fix your RCM Challenges with e-care’s Root Cause Analysis ProcessFix your RCM Challenges with e-care’s Root Cause Analysis Process
Fix your RCM Challenges with e-care’s Root Cause Analysis Process
 
Did You Know You Can Enhance Your RCM with Google Workflow? Read below Case S...
Did You Know You Can Enhance Your RCM with Google Workflow? Read below Case S...Did You Know You Can Enhance Your RCM with Google Workflow? Read below Case S...
Did You Know You Can Enhance Your RCM with Google Workflow? Read below Case S...
 
Cardiology Practice Increases 38% in one Month with e-care’s RCM Support
Cardiology Practice Increases 38% in one Month with e-care’s RCM SupportCardiology Practice Increases 38% in one Month with e-care’s RCM Support
Cardiology Practice Increases 38% in one Month with e-care’s RCM Support
 
FQHC Denial Management Solution for Aging AR and Financial Loses
FQHC Denial Management Solution for Aging AR and Financial LosesFQHC Denial Management Solution for Aging AR and Financial Loses
FQHC Denial Management Solution for Aging AR and Financial Loses
 
Solution for E2E RCM Service Provider Radiology Practice
Solution for E2E RCM Service Provider Radiology Practice Solution for E2E RCM Service Provider Radiology Practice
Solution for E2E RCM Service Provider Radiology Practice
 
With e-care’s end to end RCM Services; Cardiology Practice in TX Increases Co...
With e-care’s end to end RCM Services; Cardiology Practice in TX Increases Co...With e-care’s end to end RCM Services; Cardiology Practice in TX Increases Co...
With e-care’s end to end RCM Services; Cardiology Practice in TX Increases Co...
 
Solution on Anesthesia Coding Challenges with Increased Collections & Revenue...
Solution on Anesthesia Coding Challenges with Increased Collections & Revenue...Solution on Anesthesia Coding Challenges with Increased Collections & Revenue...
Solution on Anesthesia Coding Challenges with Increased Collections & Revenue...
 
Why is Revenue Cycle Outsourcing Important in Healthcare.pptx
Why is Revenue Cycle Outsourcing Important in Healthcare.pptxWhy is Revenue Cycle Outsourcing Important in Healthcare.pptx
Why is Revenue Cycle Outsourcing Important in Healthcare.pptx
 
Understand Medical Record Indexing process and its Outsourcing Benefits.pptx
Understand Medical Record Indexing process and its Outsourcing Benefits.pptxUnderstand Medical Record Indexing process and its Outsourcing Benefits.pptx
Understand Medical Record Indexing process and its Outsourcing Benefits.pptx
 
Things to know about medical billing auditing
Things to know about medical billing auditingThings to know about medical billing auditing
Things to know about medical billing auditing
 
How to strenghten revenue for asc practice ecare
How to strenghten revenue for asc practice   ecareHow to strenghten revenue for asc practice   ecare
How to strenghten revenue for asc practice ecare
 
Simple Strategies to Boost Billing Efficiency Post-Covid
Simple Strategies to Boost Billing Efficiency Post-CovidSimple Strategies to Boost Billing Efficiency Post-Covid
Simple Strategies to Boost Billing Efficiency Post-Covid
 

Recently uploaded

Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 

Recently uploaded (20)

Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 

Road blocks in credentialing

  • 2.
  • 3. Intoduction  Physician Credentialing Service is a cumbersome process which requires us to gather a large amount of information regarding a healthcare professional with a holistic approach to deduce the authenticity of the information prior to submitting it to the concerned parties for processing.  An efficient Credentialing process will shed light on a variety of underlying items about a healthcare professional’s history.  This would aid us in revealing a pattern and help us in identifying the root cause of some disruptions like, when they provide us with inadequate expertise to perform their basic responsibilities and provide contradicting evidence which leaves us stranded when trying to correlate the authenticity of their professional competence. www.ecareindia.com
  • 4. Listed below are some road blocks to be vigilant while credentialing any healthcare professional.  Questionable breaks in Work History and reluctant to provide previous employers or organizations contact information for verification.  Failure to provide functional peer references or peer references revealing contradicting information upon establishing contact regarding the applicant.  Failure to provide adequate quality of care to members and unprofessional conduct which led to frequent resignations & short tenures at various Healthcare Organizations.  Failure to provide full disclosure regarding any adverse actions, pending sanctions or revocation placed on their State Licenses/Board Certifications. www.ecareindia.com
  • 5.  Inconceivable level of timeframe consumed to complete the obligatory trainings and corrective actions required by the state licensing body to re-claim their licensing privileges.  Furnishing irrelevant training or proficiencies corresponding to the privileges applied which led to withdrawal of Hospital Privileges and affiliation.  Malpractice Insurance coverage from numerous agencies with inadequate coverage amounts and multiple gaps in coverage and not disclosing pending lawsuits voluntarily.  Remarkably high number of malpractice lawsuits, actions and judgments filed against the Healthcare professional which reveals their level of professional conduct or potential deficiency. www.ecareindia.com
  • 6. ABOUT US e-care’s Credentialing team vigilantly follows an eye for detailed approach so that a healthcare professional meets all the criteria as required by the Payer or Healthcare Organization by reviewing the items such as the individual’s license, experience, certification, education, training, affiliations, malpractice & adverse clinical occurrences and clinical judgment and bypass all the road Blocks that could result in interruption of the credentialing process.
  • 7. CREDITS: This presentation template was created by Slidesgo, including icons by Flaticon and infographics & images by Freepik. THANKS Do you have any questions? info@ecareindia.com +1 813 666 0028 www.ecareindia.com