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Verification of credentials and the preparation of credentialing
applications for managed care plans, other third party payors, hospitals, and
related organizations
have become an increasingly time consuming, costly, and duplicative process.
Compounding the matter is the duplication of effort necessary for credentialing
with multiple entities. MSI functions as a clearinghouse to reduce the burden on
the individual physician, physician group, medical director, and practice
administrator. When working with MSI, you provide the information, and MSI does
the rest.
MSI performs the following services:
- Collection
of necessary data elements
- Collection
of necessary attachments
- Review
of data collected
- Original
source verification
- Submission
of applications Follow-up on application status
- Responding
to requests for additional information and/or clarification Annual
re-verification of necessary data
- Removes
the burden of credentialing from a practice and allows you to focus on providing care to patients.
Credentialing
Information Flow
In-House
Credentialing With in-house credentialing efforts, a practice must submit
identical information to each organization and respond to requests from each
organization for additional information individually.
Credentialing
Outsourced to MSI
MSI
functions as the clearinghouse for credentialing information and verification,
simplifying the process for the practice and reducing the burden of redundant
paperwork.
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