HealthLine Systems, Inc. Internet Based Credentialing Presented by Cheryl Tensley.

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Presentation transcript:

HealthLine Systems, Inc. Internet Based Credentialing Presented by Cheryl Tensley

HealthLine Systems, Inc. Verifications Available on Internet State Medical Licenses DEA License Specialty Board Certifications American Medical Association (AMA) Medicare/Medicaid Sanctions through OIG Current Hospital Affiliation Status

HealthLine Systems, Inc. Web Site Addresses on QEW Help Desk

HealthLine Systems, Inc. Mass Media Search

HealthLine Systems, Inc. May Yield Results!

HealthLine Systems, Inc. Internet Verification Tracking Objectives Technical Solution Performance Improvement Labor Efficiency Quick Access to Information Compliance with All Standards and Policies

HealthLine Systems, Inc. Actions Update tables to include web site addresses and mark electronic verification

HealthLine Systems, Inc. Update Hospital and Institution Tables

HealthLine Systems, Inc. Actions Add a record for each type to be verified 3 Update tables to include web site addresses and mark electronic verification

HealthLine Systems, Inc. Add a Record to Provider Licenses for Verifications Needed

HealthLine Systems, Inc. Actions Specify a letter for each type in the verification set and execute the set 3 Update tables to include web site addresses and mark electronic verification 3 Add a record for each type to be verified

HealthLine Systems, Inc. Specify Letter for Each Type in Verification Set

HealthLine Systems, Inc. Actions Use electronic verification screen to access web sites 3 Update tables to include web site addresses and mark electronic verification  Add a record for each type to be verified 3 Specify a letter for each type in the verification set and execute the set

HealthLine Systems, Inc. Use Electronic Verification Screen

HealthLine Systems, Inc. Copy Information on Web Site

HealthLine Systems, Inc. Actions Copy verification information from web 3 Update tables to include web site addresses and mark electronic verification  Add a record for each type to be verified  Specify a letter for each type in the verification set and execute the set 3 Use electronic verification screen to access web sites

HealthLine Systems, Inc. Copy Information on Web Site

HealthLine Systems, Inc. Actions Update tables to include web site addresses and mark electronic verification Add a record for each type to be verified Specify a letter for each type in the verification set and execute the set Use electronic verification screen to access web sites Copy verification information from web Paste into electronic verification letter notes

HealthLine Systems, Inc. Paste the Web information into the Verification Letter Note

HealthLine Systems, Inc. Click on Date and Enter Other Data as Needed and You’re Done!

HealthLine Systems, Inc. Minimize Labor and Material Costs Minimize printing - reducing paper and ink consumption Minimize long hours filing and pulling files Minimize time spent away from your desk – no more missed phone calls

HealthLine Systems, Inc. Easy Access to Information

HealthLine Systems, Inc. Accessible Trail for QA Review of Verifications

HealthLine Systems, Inc. Outcome Work flow process - a model of efficiency  1 minute per verification to look up on internet, copy and paste Easy access to documentation Systematic method of verification and QA review  nothing falls through the cracks Meets both JCAHO and NCQA standards

HealthLine Systems, Inc. Responding to Verification Requests for Your Providers Consumes Coordinator’s time Consumes paper, ink, envelopes and postage Requires a timely response

HealthLine Systems, Inc. The MSL for the Net Solution

HealthLine Systems, Inc. Benefits You control which providers can be accessed online for verification Most verifications are completed in a timely manner with NO intervention from medical staff office Only special circumstances are handled personally