It's not enough for healthcare organizations to simply store provider data; it must be accurate and complete. Sound practices around provider data quality is part of operational management. Part of this management includes provider directories that are an invaluable resource to your network.
Inaccurate provider data can lead to poor patient access, government sanctions, reduction in profits, and inefficient business operations. This can also lead to gaps in care due to untimely communications between patient and physician.
Accurate and complete provider data can offer organizations the opportunity for increased revenue growth, improved workflows and better patient outcomes.
Cleansing and proactively maintaining accurate provider information can introduce a range of operational efficiencies which have the potential to translate into substantial revenue each year.
Updated and accurate data improves compliance with CMS and other regulations pertaining to provider data quality. Augmented and cleansed provider data lowers the compliance risks of inaccurate data and wasteful campaigns, field calls and other targeting that can negatively impact your revenue.
Lastly, accurate provider data improves communication, creates operational efficiencies and enhances care coordination to improve the patient experience and overall care.
LexisNexis data solutions can be integrated into existing workflows to enhance provider data quality while improving operational efficiency, coordinated care, and patient satisfaction while maximizing cost savings.
We offer two solutions to help your healthcare business enhance its provider data quality.
LexisNexis ProviderPoint® equips businesses with real-time notifications of critical issues with providers or contracts, allowing for immediate action and improved compliance. The healthcare organization’s provider file is augmented with additional data attributes based on the business rules and requirements.
After those rules are applied, ProviderPoint delivers a 'golden record' of information, along with integration codes and recommended action steps. This solution allows for customized file formatting that allows users to automate information updates.