DOING BUSINESS 


generates a final credentialing pack- age for the medical director and gov- erning body;


 


sends reminders to track document expiration dates;


collects updated documents from physicians when they are renewed; and





maintains a re-appointment timeline and workflow. Regardless of the system you choose to use, remember that it is important for you to minimize com- plexity. The more moving pieces, the more room for things to slip through the cracks.


Make One Person Accountable Assign a point person who will own the


credentialing and


Physician credentialing is a crucial component of receiving and maintaining accreditation for your surgery center.”


—Miles Beckett, MD, Silversheet privileging


workflow at your ASC. This may be a full-time or part-time responsibil- ity depending on the number of phy- sicians credentialed at your center and how much of your process you have automated with software. This indi- vidual should be hard-working and motivated as there will be a lot of responsibility on their shoulders. “I suggest hiring or assigning the task to the right personality more than the job title, someone who is detail ori- ented, trustworthy, well organized and tenacious, as often it takes several calls or emails to obtain documents needed to keep the files up to date,” says Linda Peterson, chief executive officer of Executive Solutions for Healthcare in Chandler, Arizona. Your credentialing point person should learn the rules and regula- tions as they pertain to your accred- iting agency. Fortunately, there are a variety of high-quality free resources available online.


Get Physician Buy-In Without physician buy-in, your sys- tem will not succeed. Having doctors as willing advocates, rather than as unwilling participants, will improve


ASC FOCUS NOVEMBER/DECEMBER 2015 23


your ability to manage a quick and efficient process. First, start by get- ting buy-in from your ASC’s medical director. As medical directors, the credentialing and privileging process is ultimately their responsibility, as they are liable for all physicians that work at their center.


“If there are complications with a


case, the ASC is liable if services of any kind were performed by a non- credentialed provider, RN or other staff,” Peterson says. “ASCs also run


Miles Beckett, MD, is the chief executive officer and co-founder of Silversheet in Los Angeles, California. Write him at miles@silversheet.com.


the risk of a payer disallowing a claim if it comes to light that you had a non- credentialed anesthesiologist, surgeon or other provider involved in the case.” My suggestion is, rather than pre- senting this as a “headache that needs to be treated,” present it as an oppor- tunity. If you have an efficient pro- cess, physicians will be credentialed and privileged faster. This means more cases booked and more patients treated, both of which the medical director will appreciate. The more efficient your process, the healthier your patients and the ASC’s bottom-line. I wish you luck as you transform


your credentialing process into a responsibility that helps grow your business rather than slow it down.


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