Becker's ASC Review

ASC_January_February_2025

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23 EXECUTIVE BRIEFING 2 EXECUTIVE BRIEFING AI enables credentialing accuracy and trust Provider credentialing systems are yet to maintain a single source of truth and there are many external variables that can change, including industry consolidation, regulatory changes, and compacts formed from multiple licensing boards. "It's a burden to keep up with all of that and make sure system users are aware of the changes," Mr. Rupp said. "Innovation is needed to keep pace." AI algorithms can handle complex verification processes, reducing human error, shortening credentialing timelines, and supporting near real-time provider activation. AI technologies don't always deliver trusted data; organizations must make sure that credentialing system vendors understand how to teach AI models to avoid misinformation. "One issue today is that people don't trust a lot of the data they get," Ms. Goser said. "We've made a lot of advancements in the last several years to identify the sources of truth. Continuing to execute on those sources of truth in a timely manner will be critical." Looking ahead, Modio's team realizes the importance of continuous improvements to licensing and credentialing. Making these processes as smooth as possible and leveraging automation to reduce burden on healthcare staff is crucial to business success and patient care. "The importance of credentialing is sometimes lost, given the administrative burden facing organizations," Ms. Goser said. "But it's an important part of what we must do to ensure the quality of the patient care that's delivered." Modio Health helps healthcare organizations be more efficient. OneView®, our secure real-time platform, enables hospital administrators, credentialing departments, group practices, and individual providers to share and access provider records. OneView® shortens credentialing times and reduces administrative effort by automating data collection (NPI, DEA, licenses) from public sources, allowing providers to focus on patient care. 2025_Jan_Modio_EB_v2.indd 2 2025_Jan_Modio_EB_v2.indd 2 07/01/2025 17:27 07/01/2025 17:27

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