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

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Presentation on theme: "HealthLine Systems, Inc. Internet Based Credentialing Presented by Cheryl Tensley."— Presentation transcript:

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

2 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

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

4 HealthLine Systems, Inc. Mass Media Search

5 HealthLine Systems, Inc. May Yield Results!

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

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

8 HealthLine Systems, Inc. Update Hospital and Institution Tables

9 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

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

11 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

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

13 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

14 HealthLine Systems, Inc. Use Electronic Verification Screen

15 HealthLine Systems, Inc. Copy Information on Web Site

16 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

17 HealthLine Systems, Inc. Copy Information on Web Site

18 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

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

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

21 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

22 HealthLine Systems, Inc. Easy Access to Information

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

24 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

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

26 HealthLine Systems, Inc. The MSL for the Net Solution

27 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


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