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By: Megan LaFlamme on June 14th, 2019

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Three Ways Poor Provider Data Hurts Core Business Processes

Patient Access | Provider Networks | Patient Engagement | Patient-Provider Matching | Provider Data Management

Three Ways Poor Provider Data Hurts Core Business Processes

In a previous blog post, we looked at how outdated provider directories can negatively impact patient access. This post explores the importance of effective provider data management and accurate provider directories in streamlining key operational processes across a health system.

Departments across every health system rely on accurate provider data to understand their provider network and perform core business functions effectively. Without it, efforts to boost patient acquisition, engage with providers, and optimize billing become unnecessarily difficult and costly. What’s more, the administrative overhead for each department to manage provider information on their own creates duplicative work and is prone to errors. Below are three key areas where decentralized, manual provider data directories can slow performance across an organization: 

  1. Marketing - Marketers aim to improve patient acquisition and connect patients with the care they need within your network. However, poor data impedes the effectiveness of marketing campaigns that aim to attract patients and convert their demand to booked appointments. For example, if a provider is accepting new patients and has availability, but a health system’s website does not reflect this, online consumers may seek care elsewhere — potentially outside of the health system’s network. Similarly, if a competing health system makes more information available about providers on their websites, patients may feel more compelled to book there instead.  
  2. Operations - Provider relations groups, health system call centers, referral management teams, human resources, and various other administrative functions all rely on provider data to perform successful outreach to providers. And yet, many siloed departments have full-time employees managing provider data on their own — manually collating, fixing inaccuracies, and updating data for their own initiatives. This duplicative work puts a drain on overall productivity, places an excessive burden on providers who repeatedly have to fill out the same information, and causes health systems to incur unnecessary costs.
  3. Revenue Cycle Management - Inaccurate provider data slows billing cycles. For example, incorrect provider billing addresses, insurance affiliations, and provider identifiers all result in delayed payments. It also results in an increase in the number of claims that must be resubmitted. When these inefficiencies are calculated into the cost of resources to manually resolve billing issues, it’s easy to see how centralized provider data is essential for effective revenue cycle management.

A lack of centralized provider data management slows health system performance across the organization and impacts the health system’s bottom line. Technology-enabled provider data workflows enable health systems to get a complete picture of their provider network and improve the efficiency and effectiveness of various core business processes.

Ready to take action on provider data management? To begin a successful provider data management program, start with these three key areas:

  • Data sources - Determine the most reliable data sources for provider profiles and the process for aggregating sources
  • Data processing - Streamline data quality efforts with technology-enabled processes for data cleansing and merging of disparate provider records
  • Data management - Ensure you have a centralized way to access, update, and approve provider data changes

Want to know more about simplifying provider data management? Watch this video to learn how KyruusOne™ can help you create a single source of access to your data.