Bhavani Dharla

E-Notification

The Future of Clinical Interoperability

In healthcare, a lack of interoperability compromises patient safety, contributes to clinician burnout, and wastes billions of dollars every year. The United States health system loses over $30 billion every year because of a lack of healthcare data interoperability, according to one study. 

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Credentialing

Reasons Why Medical Credentialing is Important

Partnership with insurance carriers is crucial for any medical establishment. Healthcare professionals are required to produce certain verifications before they can be considered for any refund.If a healthcare professional fails to acquire appropriate credentialing, it can result in the insurance provider not refunding the medical establishment that bills the healthcare practitioner. Assuming a medical facility allows a practitioner to deliver service before credentialing, the insurance company can defer the payment of the medical establishment to compensate for the services provided.Due to the limited timeframe, the medical office runs the risk of losing thousands of dollars that may not be recouped from the insurer.

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Credentialing

Medical Credentialing Checklist | Healthcare Credentialing Documents Checklist

Your new practice will usually ask you about your malpractice coverage, especially if you don't have it already. Insurers review multiple years of claims frequency and severity when evaluating a case.Medical professional liability insurance is also known as error and omissions coverage (E&O). Healthcare professionals are protected by medical malpractice insurance against claims alleging negligence caused patients' injuries.During credentialing, you will be asked for information such as certificate number, maximum individual and aggregate limits, occurrence versus claims-made policy, part- versus full-time status, practice location, coverage dates, and any retroactive date of application.

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