Whether small, medium or large, multi-state groups, 3WON has the technology and expertise to manage credentialing and enrollment requirements for all medical professionals in the group including MDs, DOs, PAs and allied health professionals.
When considering the data elements required to credential physicians for hospital appointment and re-appointment, managing these data for multiple professionals is both challenging and costly. Moreover, ensuring health plans receive the data required to credential and enroll medical professionals into their health plan networks is essential in order to expedite enrollment. Any delay in enrollment results in lost productivity and an inability for professionals to treat patients, costing on average $2,000 each day a physician cannot bill for services. With an average attrition rate of 12% each year, medical groups are exposed to significant productivity losses when new physicians experience time delays in health plan enrollment which often run 90-180 day cycles.
Typical legacy processes at most groups include fixed labor and software licensing and maintenance costs to manage credentialing and health plan enrollment functions. 3WON eliminates most of these costs and provides 100% data management on a capitated, per professional basis reducing costs an average of 70% annually. More importantly, 3WON accelerates health plan enrollment increasing practitioner productivity and practice cash flow. By ensuring best practices in provider data management (PDM) for the group, 3WON eliminates network participation and claim payment errors between group practitioners and their associated health plans. Using a centralized data repository for the collection, management and distribution of all provider data, 3WON updates demographic data daily, weekly and monthly and distributes those data to the group’s health plans on a timely basis. Any change in data is updated in the payers claim adjudication system ensuring services billed are reimbursed according to the contracts and fees schedules agreed to by both parties.
Reduced Enrollment Cycle Times
Per Physician: Medicare (days)
Average Cost /Day/ MD
(Lost Productivity: $2K; 12 Health Plan Contracts)
Data distribution is provided to all internal personnel via customized “ProStat” dashboards and available on demand. Because 3WON manages provider data real-time, all queries represent accurate, timely data about the professional at the point of access. Alerts can be designed to manage licensing, certification, re-appointment, re-credentialing, and other requisites more effectively than paper based processes typically associated with these requirements.
3WON assumes data management for the group and all its professionals and populates all documentation required for privileging, enrollment, or regulatory audit purposes. Its 3WON&Done. In larger groups with 50 or more physicians, 3WON can absorb the cost of onsite personnel currently managing these functions internally where practical.
At 3WON, Providers, Payers and Patients Win.