Transcript Scanning - Part 1 - HealthLine Systems, Inc.

Internet Based Credentialing
Presented by
Cheryl Tensley
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
HealthLine Systems, Inc.
Web Site Addresses
on QEW Help Desk
HealthLine Systems, Inc.
Mass Media Search
HealthLine Systems, Inc.
May Yield Results!
HealthLine Systems, Inc.
Internet Verification Tracking
Objectives
 Technical Solution
 Performance Improvement
 Labor Efficiency
 Quick Access to Information
 Compliance with All Standards and Policies
HealthLine Systems, Inc.
Actions
 Update tables to include web site addresses
and mark electronic verification
HealthLine Systems, Inc.
Update Hospital and Institution
Tables
HealthLine Systems, Inc.
Actions

Update tables to include web site
addresses and mark electronic verification
 Add a record for each type to be verified
HealthLine Systems, Inc.
Add a Record to Provider Licenses
for Verifications Needed
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
HealthLine Systems, Inc.
Specify Letter for Each Type
in Verification Set
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
HealthLine Systems, Inc.
Use Electronic Verification Screen
HealthLine Systems, Inc.
Copy Information on Web Site
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
HealthLine Systems, Inc.
Copy Information on Web Site
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
HealthLine Systems, Inc.
Paste the Web information into the
Verification Letter Note
HealthLine Systems, Inc.
Click on Date and Enter Other Data
as Needed and You’re Done!
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
HealthLine Systems, Inc.
Easy Access to Information
HealthLine Systems, Inc.
Accessible Trail for QA Review of
Verifications
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
HealthLine Systems, Inc.
Responding to Verification
Requests for Your Providers
 Consumes Coordinator’s time
 Consumes paper, ink, envelopes and postage
 Requires a timely response
HealthLine Systems, Inc.
The MSL for the Net Solution
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
HealthLine Systems, Inc.