Credentialing Dashboard & Reporting

Credentialing Status Dashboard

ZechionMed has a single dashboard displaying the entire process of obtaining credentialing for each service. Dashboard Visibility Includes:

• Stage tracking with credentialed stage providers
• Application status
• Primary verification of the source
• Missing document alerts
• Payer review status
• Timeline for approval monitoring
• In the process of completing action items
• Percentage of completion of credentialing
• The milestones of onboarding for the provider

Credentialing Status Dashboard

Benefits:

• Real-time credentialing visibility
• Faster decision-making
• Administrative workloads are reduced
• Increased efficiency of onboarding for providers

Pending Credentialing Application Reports

• ZechionMed is able to identify and monitor applications needing attention.

Pending Credentialing Application Reports

Reports Include:

• Payer applications in the process
• Cases of delayed credentialing
• Missing documentation reports
• Outstanding provider requirements
• Payer response delays
• Escalation requirements
• Analysis of the application of aging

Pending Credentialing Application Reports

Business Impact:

• Stops bottlenecks in credentialing
• Reduces enrollment delays
• Improves payer communication
• Facilitates the activation of revenue for providers

Payer Approval Tracking Reports

ZechionMed monitors the progress of enrollment for providers across multiple insurance providers. Tracking Includes:

• Payer application submission dates
• Approval status
• Effective dates
• Contract participation status
• Payer actions pending
• Recredentialing deadlines
• Time to pay for turnaround analysis

Payer Approval Tracking Reports

Supported Payer Monitoring:

• Medicare
• Medicaid
• Commercial insurance plans
• Organizations that manage care
• Payers from both national and regional sources

Provider Onboarding Reports

ZechionMed offers detailed reports on onboarding for healthcare institutions that manage multiple providers. Reports Include:

• New provider onboarding status
• Credentialing rate for completion by providers
• License verification status
• CAQH readiness status
• Timeline for completing enrollment
• Monitoring of provider activation
• Onboarding reports based on location

Provider Onboarding Reports

Ideal For:

• Medical organizations
• Hospitals
• Multi-specialty practices
• Telehealth companies
• Healthcare networks

Credential Expiration Reports

Keeping active credentials in place is essential to ensure that healthcare operations continue uninterrupted. ZechionMed is a monitor of expiration dates as well as the compliance requirements. Expiration Monitoring Includes:

• Medical licenses
• DEA certificates
• Board certifications
• Insurance for malpractice
• CAQH re-attestation
• Hospital privileges
• State registrations
• Provider documents

Credential Expiration Reports

Alerts Include:

• 90-day expiration alerts
• 60-day renewal reminders
• 30-day compliance alerts
• Notifications of expired credential status

Credentialing Compliance Reports

ZechionMed provides reporting focused on compliance to aid in the preparation of healthcare providers for compliance. Compliance Reports Include:

• Credentialing file completeness
• Primary source verification completed
• Status of compliance with documents
• Provider file audit results
• The tracking of Regulatory requirements
• The credentialing policy must be adhered to

Credentialing Compliance Reports

Supports:

• NCQA standards for credentialing
• CMS enrollment requirements
• Credentialing for the Payer
• Healthcare accreditation readiness

Credentialing Performance Metrics & Analytics

• ZechionMed transforms credentialing activities into performance-based metrics.

Credentialing Performance Metrics & Analytics

Credentialing Operations KPIs:

• Average turnaround time for credentialing
• Rate of application completion
• The time for onboarding of the Provider
• Rate of approval for the payer
• Pending application volume
• Backlog of Credentialing

Credentialing Performance Metrics & Analytics

Revenue Impact Metrics:

• From hire until billing activation
• Provider revenue delay analysis
• Enrollment efficiency
• Identification of risky revenue loss

Credentialing Performance Metrics & Analytics

Team Performance Metrics:

• Processing volume
• Resolution time
• The effectiveness of follow-up
• Escalation frequency

For Physician Practices

• Faster onboarding by the provider
• Administrative workloads are reduced
• Better payer enrollment visibility
• Fewer credentialing delays

For Hospitals & Healthcare Networks

• Enterprise credentialing reporting
• Multi-provider tracking
• Ready for compliance
• Centralized management of credentialing

For Telehealth Organizations

• Monitoring of multi-state providers
• Monitoring of expiration dates on licenses
• Credentialing pipeline visibility
• Faster market expansion

For Medical Groups

• Standardized workflows for credentialing
• Provider lifecycle reporting
• Increased efficiency of operations
• Better tracking of revenue activation