MarketplaceStudioSolutionUiPath Provider Credentialing for Healthcare

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UiPath Provider Credentialing for Healthcare

UiPath Provider Credentialing for Healthcare

by YouTube

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Solution

Lead Request

<100

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Summary

Summary

Healthcare provider credentialing process is a pillar of quality and risk management for the healthcare industry, it’s critical for facilities to perform their due diligence for provider onboarding

Overview

Overview

Provider Credentialing is an essential process that both Payers and Providers manage to ensure their clinical staff is qualified and certified to practice in their network . The healthcare provider credentialing process is a pillar of quality and risk management for the healthcare industry, it’s critical for health facilities to perform their due diligence when hiring/appointing front-line medical services providers. Credentialing is the process to verifies that a physician has the necessary education, experience, training, licensure, history, and competencies to perform specified medical procedures.

Credentialing process is required during the hiring/ appointing process and at other intervals afterward, this process follow practices established by regulatory and accreditation organizations such as the Joint Commission. Below is the list of main steps of verification in credentialing process

Board Certification – Verify current certificate level

Sanction Check– Verify OIG sanction check

Department of Health and Human Services

DEA certification/registration

Work History – extract work history from the curriculum vitae

NPI Validation – query state license and Medicaid/Medicare

Features

Features

Automation will Increase the efficiency of a workflow by improving the coordination of the activities, it will bring below listed benefits Improved Productivity –An automated and streamlined Provider Credentialing process results in increased team productivity with reduction in processing errors Reduced operating costs – Reduction in manual primary source verification, sanction check & license verification results in increased process efficiency and reduced operation cost Enhanced Provider Experience – Automated process will decrease the provider onboarding time and involvement and enables the payers to maintain enhanced collaboration levels and reduce turnaround time Improved compliance – The ability to retain and audit at any point in the process allows for better recordkeeping

Additional Information

Additional Information

Dependencies

Newtonsoft.Json >=10.0.3 Healthcare Provider NPI Search Activity Healthcare Provider Sanction Validation Accelerator

Publisher

YouTube

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Trusted Source

Technical

Updated

February 19, 2020

Works with

UiPath Studio 2018.3+

Tags

Support

UiPath Community Support

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