HealthLine Systems, Inc.
Internet Based Credentialing
Presented by
Cheryl Tensley
HealthLine Systems, Inc.
Verifications Available on Internet
State Medical LicensesDEA LicenseSpecialty Board CertificationsAmerican Medical Association (AMA)Medicare/Medicaid Sanctions through OIGCurrent Hospital Affiliation Status
HealthLine Systems, Inc.
Web Site Addresseson QEW Help Desk
HealthLine Systems, Inc.
Mass Media Search
HealthLine Systems, Inc.
May Yield Results!
HealthLine Systems, Inc.
Internet Verification TrackingObjectives
Technical Solution Performance ImprovementLabor EfficiencyQuick Access to InformationCompliance 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
Add a record for each type to be verified
Update tables to include web site addresses and mark electronic verification
HealthLine Systems, Inc.
Add a Record to Provider Licenses
for Verifications Needed
HealthLine Systems, Inc.
Actions
Specify a letter for each type in the verification set and execute the set
Update tables to include web site addresses and mark electronic verification
Add a record for each type to be verified
HealthLine Systems, Inc.
Specify Letter for Each Type in Verification Set
HealthLine Systems, Inc.
Actions
Use electronic verification screen to access web sites
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.
Use Electronic Verification Screen
HealthLine Systems, Inc.
Copy Information on Web Site
HealthLine Systems, Inc.
Actions
Copy verification information from web
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.
Copy Information on Web Site
HealthLine Systems, Inc.
ActionsUpdate tables to include web site addresses
and mark electronic verificationAdd a record for each type to be verifiedSpecify a letter for each type in the
verification set and execute the setUse electronic verification screen to access
web sitesCopy verification information from webPaste 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