Simplifying Contracting and Credentialing Processes

Provider contracting and credentialing are necessary requirements for every health plan. In fact, IPAs, MSOs, and third-party payer organizations who cater to health plans need the right tools to efficiently carry out these processes. Whether you’re looking to add new practitioners for a contracted health plan or you need to submit a credentialing request form, you need a fully-capable system to simplify these requirements. Additionally, the distinct needs of each health plan means that contracts can easily vary from one health plan to another. This ultimately leads to more complex provider contracting and credentialing needs. As a result, manually handling hundreds of contracting paperwork won’t be conducive to successful business operations.



The Benefits of Software for Provider Contracting and Credentialing

Handling things manually with forms and paperwork won’t do you much good these days. In fact, according to an article by the World Economic Forum (WEF), most organizations will be processing and storing 62 percent of their business data via computers by the year 2022. So if you want to stay relevant, particularly in the healthcare industry, you’ll need the aid of advanced software solutions to simplify your workflow. A good place to start is improving your provider contracting and credentialing system by adapting a management software. To put it simply, a management software can help you automate certain aspects of your workflow so you can process your provider credentials faster. Having an automated system also helps you reduce manual labor and at the same time improve the accuracy of your provider credentials. Provider contracting won’t have to be as complicated as it used to be when you have the right tools.

However, despite all the benefits you gain from using management software, the real issue lies in the type of software that you integrate with your system. These days, a lot of processing solutions are built by different brands, which means that you’ll have to spend a lot of money on software that can only cater to a limited amount of tasks. To put it simply, you need to find a reliable management software that has most, if not all, of the tools that your business needs. For example, integrated solutions like QuickCap 7 are built primarily to cater to the operational needs of IPAs, MSOs, and other third-party payer organizations. This means that software like QuickCap has most of the tools you’ll need to fully enhance your daily processes. In fact, you’ll save more money when you get a software that has built-in features for EDI transactions, provider contracting, claims processing, authorization approvals, and more. So if you’re planning to get a management software, consider one that has lots of tools and features that you can easily integrate with your current system.



QuickCap’s Fully-Integrated Provider Contracting and Credentaling Feature

As much as health plans need the services of providers, they still need to make sure that all of their associated providers meet their criteria. Furthermore, the requirements that providers need to comply to be associated with a particular organization can vary from one health plan to another. And when your business revolves around hundreds of health plans and provider contracts, you’ll need a software that can simplify your contracting and credentialing needs. 

QuickCap has a well-equipped system that allows you to easily handle multiple health plans and provider contracts. It’s a system that allows you to easily manage diverse contract templates so you can cater to different clients and providers. Additionally, you need a system that is flexible enough to cater to the contracting needs of each of your clients.

QuickCap has all the provider contracting and credentialing features that you need to succeed. From assigning health plan and provider contracts to configuring contract templates and calculations, you’ll find everything you need in one solution. You won’t have to look for other third-party solutions when you have an extensive array of built-in tools and features in QuickCap.

QuickCap’s contracting and credentialing features allow you to:

• Easily assign contracts to different health plans and providers
• Fully customize your contract templates
• Configure your fee schedules according to your needs
• Review your provider applications and credentials in one system

Aside from the extensive provider contracting and credentialing features, QuickCap also caters to EDI transactions, claims adjudication, authorization and referral reviews, data analytics, audit features, and more. QuickCap has everything that organizations like IPAs, MSOs, and payer organizations need to succeed in the healthcare industry. Learn more about MedVision’s provider contracting features.