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Guides to Better Healthcare Quality

What saves thousands of lives, continuously improves healthcare for millions, sets the standards for medical and dental organizations to provide high-quality care, and manages the most widely used performance measurement tool in all of healthcare? Perhaps you guessed The Joint Commission, DNV GL, NCQA, or maybe even AAAHC, URAC, or CARF. Your immediate response likely...

Fun with Flags, Except the Red Kind

They pop up in background checks, on enrollment applications, in job time frames, as malpractice claims. They’re red flags. Credentialing professionals are red-flag hunters, poring over large amounts of data they quickly gather, review, and process to investigate any discrepancies. Most provider applications don’t raise red flags, but it’s the MSP’s role to delve into...

IntelliSoft Faculty to Speak at MAMSS, May 8-10

IntelliSoft Faculty to Speak at MAMSS, May 8-10, 2019 Three members of IntelliSoft Group's Speakers Bureau will present at this year's Massachusetts Association of Medical Staff Services (MAMSS) conference, held May 8-10, 2019 at Red Jacket Beach Resort in South Yarmouth. On Thursday, May 9, Christine Bergeron, IntelliCVO Client Liaison & Operations Manager; and Jennifer Cloud, CPCS,...

Expect Mega, Multifaceted Change

As a medical credentialing professional, what’s your takeaway from this chart, with data furnished by a Kaufman, Hall & Associates survey and report? For most of the last decade, healthcare mergers and acquisition activity increased, aside from a blip in 2016. Many deals are mega in size, involving sellers with net revenue of $1 billion...

Data In, Data Out

“The goal is to turn data into information, and information into insight.” – Carly Fiorina, former CEO of HP “In God we trust. All others must bring data.”– W. Edwards Deming, statistician, engineer, author “If we have data, let’s look at data. If all we have are opinions, let’s go with mine.” – Jim Barksdale, former…

Private: Benefits of Electronic Payer Enrollment: 10 Tips for Improvement

Enrolling practitioners efficiently and accurately into commercial and federal insurance plans is essential. The costly consequences of disorganization: backlogs, unfilled positions, lost revenue, dissatisfied providers, and inconvenienced patients. Learn how to use all tools at your disposal to streamline payer and provider enrollment. Complete the form at right to receive a PDF of 10 tips.