Road Blocks In Credentialing

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Road Blocks In Credentialing

• www.ecareindia.com

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Intoduction
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• 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 professionals 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.

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• 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.

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• 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.

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ABOUT US

• e-cares 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 individuals
  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.

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THANKS

• Do you have any questions?
• info_at_ecareindia.com
• 1 813 666 0028
• www.ecareindia.com