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