5 Ways Salesforce Health Cloud Streamlines Provider Credentialing & Contracting

Provider credentialing and contracting are one of the most important operations in the healthcare sector. But it is complex. A process that can slow down the entire operations, affects practice revenue, and often delays patient care. Salesforce Health Cloud, a healthcare-focused CRM solution, offers a solution to solve these complex operations. 

With its CRM solution, healthcare organizations and payers can speed up the onboarding process of providers. In this blog post, we have shared the 5 ways in which Salesforce Health Cloud streamlines provider credentialing and contracting.

Key Challenges in Provider Management

Credentialing is one of the major challenges in the provider enrollment process. 

Effective provider management is important for quality healthcare services. But, healthcare organizations used to face common challenges in the following areas:

• Accuracy in provider information is important. Research by AMA has found that over 20% of provider directory listings contain inaccuracies.
• Independent providers often operate in thin margins. This causes the rise in operational costs, complexity in the billing process, and delayed payments. These might make it difficult to invest in the right resources and technologies.
• The healthcare sector is experiencing significant workforce shortages. Leading to an increase in workloads and burnout among providers. This not only affects job satisfaction and retention but also impacts patient care quality. Addressing these issues requires strategic workforce planning and support systems.

How Salesforce Health Cloud Streamlines Provider Credentialing and Contracting

Salesforce Health Cloud assists healthcare organizations with the provider credentialing and contracting operation. In this way, organizations can ensure a faster onboarding of providers. Here are the 5 ways:

1. Digitize the Provider Credentialing Process

• Salesforce Health Cloud makes it possible for the payer’s office credentialing professionals to digitize the procedure and quickly adapt the provider application material to their company’s requirements. 
• Also, the system will help to record every provider’s applications that have requirements for mandatory information validations and credential validations.
• Healthcare organizations can utilize and implement Salesforce Health Cloud’s automated digital system, which helps to streamline the entire data collection process, verification operation, and compliance tracking. 
• This way, the manual tasks improve efficiency and accuracy.

2. Empower Providers with a Self-Service Portal

• The system has various features that give providers access to the self-service Provider Portal website so they can finish the credentialing procedure and confirm they fulfill requirements to become part of the payer’s network.
• Also, it allows providers to complete their professional information on the Provider Portal website to join the payer’s network practitioner panel. 
• Enrollment and onboarding times are shortened by the digitalization and integration of NPI integrations for validation, which reduces human data entry.

3. Capture and Verify Credentials Efficiently

• Salesforce Health Cloud CRM has a comprehensive feature called a 360-degree view. This feature integrates and collects detailed data from each of the healthcare systems.
• And then, the system will show a 360-degree view of information within a single dashboard.
• To facilitate a comprehensive credentialing procedure, Health Cloud records every aspect of the provider’s education, job history, regulatory action, malpractice insurance, specialty, and board certification.
• This will ensure an efficient capture and verification of the credentials.

Related: Study Shows 72% of U.S. Hospitals Struggle with Patient Data Gaps (Here is How Salesforce Health Cloud Fixes It)

4. Streamline Provider Contracting Workflows

• The system has a specific feature called Provider Network Management, which has workflows and tools for provider contracting.
• Workflows and tools are provided by Provider Network Management at each stage of the provider contracting to ensure that everything runs as smoothly and transparently as feasible.
• The system supports a various numbers of contract types, such as value-based contracts and fee-for-service, and assists health plans in creating financially sustainable arrangements.
• Contracting experts utilize templates to quickly draft and manage various contract types, then apply particular provisions and terms of reimbursement for particular suppliers.
• The contracts are then reviewed and approved by contracting managers and other internal stakeholders. It goes without saying that the clearance procedures for internal evaluations vary throughout health plans.
• Payers can automate who gets approval requests and when by establishing flexible business rules. To guarantee quicker evaluations, additional technologies like approval list dashboards, automatic emails, and bell notifications all cooperate.

5. Enable Digital Contract Execution

• Salesforce Health Cloud will completely automate the entire provider contract process by integrating with electronic signature apps.
• So, there will be no necessity for paper-based workflows.
• The integration with third-party e-signature tools, for instance, Docsign, will simplify, speed up, and streamline the signing procedure.

Salesforce Health Cloud Solution From CapMinds

CapMinds offers a tailored Salesforce Health Cloud solution to address the unique needs of healthcare organizations, ensuring streamlined workflows, improved patient outcomes, and operational efficiency.

With CapMinds, healthcare providers can overcome the complexities of Salesforce Health Cloud and unlock its full potential through:

• We adopt Salesforce Health Cloud to your organization’s specific needs, enhancing functionality and usability.
• CapMinds ensures smooth integration with third-party systems like EHRs, billing systems, and patient engagement tools.
• Our hands-on training empowers your care teams to maximize the potential of Salesforce Health Cloud.
• We provide continuous updates, performance optimization, and issue resolution to keep your systems running efficiently.
• Ensure accurate and secure patient data migration with CapMinds’ expert-led processes.

Why Choose CapMinds?

CapMinds addresses Salesforce Health Cloud’s common challenges, such as bulk data performance issues, extensive customization needs, and integration complexities. 

By leveraging pre-configured templates, scalable frameworks, and advanced integration tools, we simplify implementation and customization and ensure a hassle-free experience for healthcare organizations.

Contact CapMinds to discover how our Salesforce Health Cloud solution can drive efficiency, improve patient care, and help your organization achieve its healthcare goals.

Let us guide you to a seamless care management experience.