CredentialingSpectrum : An Enterprise credentialing management tool.

New Jersey2222 Morris Ave. 2nd Floor,Union, NJ-07083

Phone : 908-834-1608Fax : 877-600-9390SalesPh: (908)-834-1608Email: [email protected]

Facebook.com/Clinicspectrum

@Clinicspectrum

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© Copyright 2014. Clinicspectrum, All Rights Reserved. 1

PROFILE MODULEComplete Credentialing Profile Module for:

Management of Credentialing and Re-credentialing activities and reminders.

CAQH Import Functionality.

Complete Cloud Based Documents Management for Credentialing Documents.

Reminders on Expiration of Various Credentials such as CDS, DEA, License, CAQH, Board Certification, Mal Practice , Hospital Privileges.

Facility Credentialing. Milestone and Task Management

Insurance Participation Agreements and/or Contract Management.

Auto-fax, Auto-Email and Secure Messaging Capability.

Extensive Report and/or Analytics Module.


DASHBOARD ANALYTICS Dashboard allows a pictorial overview of the various credentialing tasks that are currently in activity for the providers.

The quick glance screen, gives a brief overview of the status of credentialing assignments, provider/insurance count, the status of tasks set by the users, and the credentialing task aging.


DASHBOARD ANALYTICS

Users can click over any specific area within the chart (s) to view a detailed analysis for the allotted segment of the dashboard.


PROFILE IMPORT CAQH import tool allows for seamless extraction of the provider’s information from the CAQH pdf to be transferred and auto populated within the CredentialingSpectrum platform.

Users can view the data successfully imported (color green) within the portal, as well as view additional data which was not imported and needs manual entry.


AUTO POPULATING FORMS

The PDF forms display a library of the insurance companies’ application forms for the providers.


AUTO POPULATING FORMS

They are auto-filled for each provider for the credentialing process, as they are lengthy and time consuming to fill manually.


CREDENTIALING MANAGEMENT

Management of Credentialing and re-credentialing activities allows users to manage the credentialing assignments by inputting the contact details for the specific payers, various ongoing time stamped remarks, creation date as well as follow up date for a more streamlined tracking process of the assignment.


DOCUMENT MANAGEMENTDocument Management tool allows seamless cloud based document uploads and management, customizable template creations specific to clients, providers and facilities as well as individual expiry dates on the uploaded documents. Document module contains the list of features such as “Create category”, “Upload documents”, “Download documents” and “Document viewer”. Users may also import a customizable document template for specific document management. Uploaded fields will be displayed into the grid shown in the attachment module. Users can search by the title, category, effective – expiry date, description. This module will help users search documents easily when there are number of documents on file.


This module also provides other functionality such as: 1. Delete This will allow you to delete files from the server, using a password protected command. It will confirm before deleting any document from the server and verify by password login to complete the deletion. 2. DownloadThis will allow you to download the document from server. 3. Print This will allow you to print out the document if it is in a printable format. It will only print the document as a PDF or an image. 4. Effective date/Expiry dateHere, users can add or edit effective date and expiry date for the document. This functionality will manage and find the documents due to expire. Credentialing spectrum’s service provides the notification for upcoming expiring documents. 5. Editable descriptionUsers can add/edit description for documents and add short notes for easy identification or highlighting purposes.. 6. Email / FaxUsers can email or fax document from the attachment module. This will allow you users to send documents as an attachment.

DOCUMENT MANAGEMENT


REMINDERSReminders on various credentialing documents allow the user to be notified in advance on which documents are due to expire and need attention. The auto reminder is set by the user and then emailed to the designated email address on file as set by the administrator. This tool is very helpful for expiry management and helps to avoid common oversight errors.


NOTIFICATIONSAuto-fax, Auto-email and Secure Messaging Capability

Email/ Fax module will be used to send secure emails or faxes for credentialing process. You can go to Email/Fax module by clicking on the envelope icon from home screen. The screen shows the email/fax option at the top. Attach File(s) link is given for attachment of a new document to email. Import File(s) link is given to import existing documents from the document management module to email. The email templates allows for auto creation of details already stored within the database. By selecting the template, the body of the email will be preloaded.


TASK MANAGEMENTTask Management option allows creating and assigning tasks to users for proper management. In the task management window, users can input the subject, description, status, priority, start date, due date and the specific assignee to the task. Directly from this view, users can edit or email the task specifics to a designated recipient. Additionally, users can view the life cycle on the individual task.


EXTENSIVE REPORTSThe analytics module shows the clients Credentialing Report based on the credentialing detail, client summary or credentialing expiration. The data holds all the compilation of remarks and follow-up dates for all the credentialing processes carried out for each particular reporting analysis.


MILESTONE MANAGEMENTEveryone needs to know the status of Credentialing tasks—what’s in progress and what remains to be completed. This is achieved by configuring key milestones and displaying progress toward, or the completion of, key milestones so users can view specific activities within the credentialing process.


MILESTONE MANAGEMENT

This enables users to quickly know what’s completed, needs to be done, is past due, and what are the new tasks that are entering the process.


INSURANCE PARTICIPATIONInsurance Participation Agreements and/or Contract Management is part of the document management portal within the credentialing platform. Users can import/upload specific named documents in the portal and have easy access to retrieve them at any given time. Users can manually subtitle the category or import a template previously created by the user/administrator. The documents saved in this portal can also be emailed, faxed or previewed directly from the document management screen.


CREDENTIALING MANAGEMENTFor a new client, “Client Name”, “Client Type” and “Status” are compulsory fields that should be entered to create a new client. This module is used to maintain the client’s details such as the client name, business organization, short name, client ID, tax ID, and other important remark information.


MESSAGING TEMPLATESUsers can create messaging templates for seamless email notifications. This feature is useful for the users to send emails with same content, to various providers interchangeably.


MESSAGING TEMPLATES

After creating the template users can edit or add to the template and save the changes for later use.

© Copyright 2014. Clinicspectrum, All Rights Reserved.

2222 Morris Ave. 2nd Floor,Union, NJ-07083

Websitehttp://clinicspectrum.com/

Phone Number908.834.1608

[email protected]

omClinicspectrum is a healthcare services company providing outsourcing and back office solutions for medical billing companies, medical offices, hospital billing departments, and hospital medical records departments.

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CredentialingSpectrum : An Enterprise credentialing management tool.

Healthcare

Transcript of CredentialingSpectrum : An Enterprise credentialing management tool.