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A complete and trusted view of provider data, for all your strategic initiatives
Accurate, always up-to-date provider data is crucial to every aspect of you business but can be difficult to achieve due to its complex and dynamic nature. Verato for Provider Data Integrity helps you connect, manage, and enrich provider data more efficiently. Watch the video to learn more.
Provider data powers important initiatives and supports the most fundamental aspects of your business. However, low quality and utility of provider information, which is often “hidden” due to data silos can have costly implications for your organization.
Health IT leadership has an enormous task in understanding and managing the complexities of provider data to support and fully operationalize every business stakeholder within an organization.
Provider information is required to ensure seamless patient referrals, routing of test results, and other clinical information exchanges used to facilitate the management and coordination of a patient’s care. For seamless care coordination, clinical information must be shared across multiple providers requiring accurate and complete contact information.
Revenue cycle management requires a completely different set of systems and applications than the clinical teams using EHR systems. Accurate provider data is required for billing, including a provider’s name, NPI, and specialty. As a result, yet another set of users accesses and updates provider information in different places from the clinical teams. This has costly implications for both providers and healthcare organizations if using poor provider data.
Provider information is complex data because this can represent many different types of entities – a person, location, and sometimes both. Additionally, this data has an intricate hierarchy that is unstructured and varied with endless permutations of all critical attributes that have severe business implications from billing to care access. These combinations often lead to missing and inaccurate information further contributing to the layers of complexity associated with rationalizing all forms of provider data.
Provider data is constantly changing because of the mobility of providers to change when, where, and what services they offer. The rate at which this data changes adds to the operational complexity of continuously managing and ensuring this data is consistently accurate — regardless of what system within your organization that is using this data. Additionally, this can also create scenarios in which your organization must fill in the gaps as key information may be missing.
Provider data is used by many different systems across every part of your business and created and modified by many different users across every department within your organization. As a result, the scale of managing the conflicting information across every different version of provider data within your organization is nearly impossible without a centralized distribution hub. Then, healthcare IT teams must support the large-scale reconciliation and management of 3rd party data from NPPES and state licensing organizations which typically healthcare IT teams are not resourced appropriately to do in the first place.
Tackling the provider data integrity challenge facing the healthcare industry requires an ability to identify, enrich, synchronize clinician and organization information to the necessary downstream systems across an enterprise, and manage that information over time ensuring the accuracy and completeness of all provider information.
Providing an accurate picture of all of the providers across your enterprise and maintaining a complete and trusted provider index is essential to making informed operational decisions. Unfortunately, building and updating such an index can be cumbersome and time-consuming. Verato Provider Data Management™ makes it easy to get a 360-degree view of every healthcare practitioner and provider entity in your system, allowing you to always know who is who across your enterprise.
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Verato can solve your Provider demographics and clinical data challenges – all in one. Many vendors on the market today focus on one or the other but not both. This operationally is more efficient and cost effective instead of managing multiple implementations and maintenance time and resources.
Our supplemental data is already built in so you don’t have to buy and manage additional data. Verato simplifies the complexity and reduces the administrative burden associated with managing conflicting information of provider data. We help you integrate multiple data sources into a unified hub, standardize the wide range of provider information, and synchronize all this information continuously at scale.
Unlike other vendors, Verato understands the importance of having the most updated information about a given provider. Verato accommodates daily updates across all reference data and will notify you of critical changes, so you have the confidence that your data never goes stale.
Our approach uses modern APIs to ensure a seamless interoperability solution across any combination of systems. Verato makes this easier with built-in reference and enrichment data that is ready to use out of the box. Verato does not require extensive tuning to match your unique population – no mapping set up required! Our approach enables you to rapidly go live with speedy implementation.
Provider data is an important part of your identity management strategy. Learn more about managing this complex information.
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