By: Lance Hebert, VerityStream’s VP of Ambulatory and Post-Acute
No business can survive without revenue. That’s as true of a medical practice as it is of a grocery store or florist’s shop. Unlike those businesses, however, a healthcare entity must carefully vet and screen its employees, most notably its doctors, as well as provide outstanding care and service. And if it doesn't do the former, then it’s in trouble no matter how good the latter is.
Comprehensive and thorough provider enrollment are where it all starts in terms of a practice’s revenue cycle. A spotty, thinly staffed or sluggish setup on your end can cause serious financial damage in many ways: slow reimbursements, write-offs, and denials, just for starters.
Healthcare systems and medical groups, whether affiliated or independent, have begun to realize that when it comes to provider onboarding time is literally money. At the same time, the provider onboarding and enrollment process has never been more complicated and cumbersome, especially around insurance-network participation. VerityStream’s 2018 Provider Enrollment Survey revealed that in stark terms:
Now consider this example to see how a robust, automated onboarding system can ease that burden and recapture potentially lost revenue:
If the opportunity cost per day for one doctor is $6,641 per day (per the 2016 Merritt Hawkins’ Physician Inpatient/Outpatient Revenue Survey), and the practice is bringing in 30 new doctors, that’s $199,230 in potential daily revenue. Potential, because it’s not coming in if those doctors aren’t enrolled and billing insurance networks and plans.
Now imagine an onboarding solution that captures their information quickly, reduces duplicate effort, cuts errors significantly and gets those physicians enrolled and billing 15 days quicker than your current setup. The result?
The onboarding enrollment task isn’t going away, so isn’t it time to look at a fast, thorough, easy to use and carefully vetted process that ensures success and speeds up the revenue stream?
How best to realize a solution, then? Start with the paperwork. Those who tasked with provider enrollment, as well as the providers themselves, list the volume of forms to be completed as their biggest headache. Other challenges include:
Accordingly, a solution will:
Every one of those steps saves onboarding turnaround time, which means practice labor overhead comes down, and payments and reimbursements start flowing more quickly.
The ideal system we’re talking about exists. The above benefits are some of the many key value offerings provided by VerityStream for Medical Groups, which can provide credentialing and related services for physicians and other staff.