7 reasons why provider data is often inaccurate
Healthcare industry stakeholders annually spend more than $2 billion capturing provider information, but too often the data is inaccurate, according to CAQH, a stakeholder coalition that works to improve business processes.
More than 20 participants formed the Provider Data Action Alliance to develop a roadmap for tackling provider integrity issues during a nine-month period. This group included public and private payers, hospitals, provider groups, regulators, accreditors and health information exchanges. Other stakeholders from more than 100 organizations reviewed the recommendations.
“We live in a world where patients are unable to locate a provider because of inaccurate directories, health plans cannot quickly identify sanctioned providers, providers have difficulty finding in-network specialists for patient referrals, and patient claims payments are incorrectly denied or delayed,” according to the group.