Avoiding common credentialing pitfalls with Robotic Process Automation

Abstract: Accuracy is critical when it comes to credentialing. And with more than 85 percent of applications currently done online, physicians are heavily dependent on technology and automation. While digital applications may be a more efficient method than putting pen to paper, this streamlining also brings high risk.

Accuracy is critical when it comes to credentialing. And with more than 85 percent of applications currently done online, physicians are heavily dependent on technology and automation. While digital applications may be a more efficient method than putting pen to paper, this streamlining also brings high risk.

This modern method of credentialing opens the door to data entry errors, allowing accuracy to easily be compromised. Some of the most common mistakes that arise include incorrect or incomplete applications. This can be due to missing or outdated information, transposing issues or human error caused by a lack of attention to detail. Other errors like omissions or an incorrect mailing address often results in an “incomplete” label or a rejection at the payer level. When you consider the sheer amount of digital paperwork that a practice must complete within the overall credentialing process, there is no doubt that much room for error arises.

When time is not on your side

It’s said that the amount of time to currently gain credentials can take approximately 120 days. But mistakes or rejected applications can cause delays due to the need to resubmit information. With processing times already surpassing three months on average, practices cannot afford to lose additional days (or even months!) due to rejections caused by simple mistakes. Any risk that slows down the credentialing process – and increases the risk of rejections – is not one worth taking. So how can practices avoid common pitfalls and ensure the most streamlined application?

Say hello to the future of automation

Thankfully, technology is improving outcomes for healthcare providers. New robotic process automation tools are the latest advancement helping physicians complete complicated and time-consuming applications. Intelligent data entry robots populate data fields quickly and with accuracy, preventing the human errors that so often cause rejections. By removing the need for manual input, the risk of mistakes and rejections decreases and time is saved.

By utilizing sophisticated robotic process automation tools, TriZetto Provider Solutions is solving for the headaches often associated with end-to-end credentialing and can help your practice avoid common pitfalls. Using sophisticated automation and proprietary technology like its Pulse platform, TriZetto Provider Solutions can help practices avoid common credentialing pitfalls. For information on credentialing services or additional revenue cycle management optimization, visit our Credentialing page.