At VerityStream, we are frequently asked for benchmarks related to the efficiency and effectiveness of credentialing operations. The good news is that metrics related to credentialing and CVO operations is rapidly becoming more available. However, health system CVOs are still in the process of evolving and provide a varied scope of services. Some CVOs provide application management and verifications only, others are involved in privileging and still others are a merged department that provides credentialing and enrollment services.
A few health systems began the process of establishing a CVO approximately 25-30 years ago. Prior to the mid-1990’s, most credentialing services were provided by commercial organizations (many of which were established to meet the needs of managed care organizations) or via medical societies that established a credentialing service. It was fairly rare to see centralized credentialing within a health system.
Fast forward to 2022 and you will find that it is the rare health system that does not already have a centralized credentialing service/CVO – and if a CVO is not already present, those health systems are busy getting them started. Health systems that already have CVOs are closely examining their efficiency and effectiveness – credentialing has become important in today’s healthcare world because credentialing providers is inherently connected with the organization’s ability to get paid.
Most health system CVOs provide the following core services:
Whether your organization has a CVO or is a stand-alone facility with a credentialing department/medical staff office that supports credentialing and privileging services, the choice of the software that is used to manage provider data, and the extent to which the software is effectively can make a huge difference in how the CVO/credentialing department must be staffed.
The 2022 Annual Report on Medical Staff Credentialing (to be distributed to healthcare organizations in May) includes staffing information that will be helpful for CVOs/credentialing departments that would like to evaluate their staffing against the organizations that responded to the survey. To register for this upcoming webinar, sign up to receive our webinar email notifications, and we will send you a link to register as soon as it is available. You’ll see some interesting data that informs us that the number of providers per staff member went up last year. We will discuss why this is occurring (one reason: we believe that technology is being used more effectively). We will also have data on what is being verified by credentialing departments and a host of other key metrics. Don’t miss this opportunity!