SY handled credentialing for a practice for several years but has recently retired from the practice. All of the recredentialing notifications went through SY’s office, primarily through her email address. When a new employee was hired to replace SY, no one forwarded her emails to a new active account. Because of this error, recredentialing for a major insurance company expired for one of the practice’s providers. This caused loss of revenue, significant stress, and frustration.
Diagnosis:
Lapse in credentialing
Recommendations:
- Have a protocol for handling all discontinued email accounts that ensure continuity of work
- Build reminders into the office calendar to periodically check recredentialing status and CME requirements
- Ensure that more than one person receives the reminders for recredentialing of all kinds
How do you make administrating excellence easier in a busy medical practice?
See our post on Credentialing for Insurance
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