Credentialing explained with Varun Krishnamurthy

Описание: Varun Krishnamurthy is the co‑founder and CEO of Assured Health, an AI-powered provider credentialing and enrollment platform.

In this episode, Zack and Varun talk about credentialing – how insurers check that a healthcare provider is qualified to practice. They cover how provider credentialing works, the bottlenecks it can cause, and how to improve it.

0:00 - Intro
0:44 - How Varun started Assured Health
1:57 - How long does it take for a provider to take insurance?
3:26 - Does provider experience speed up onboarding?
4:20 - How Dawn Health led to Assured Health
7:31 - What must a provider do to accept insurance?
9:11 - Is there a single application for credentialing?
12:15 - How complex is credentialing, really?
15:29 - What else besides credentialing do you need to accept insurance?
18:02 - How do you keep provider data current?
19:51 - Is credentialing a major bottleneck for providers?
22:18 - Credentialing vs. provider enrollment vs. transaction enrollment
25:17 - What are closed panels and why do they matter?
26:30 - When does a credentialing service make sense?
31:05 - What are the steps for credentialing?
34:32 - How can you tell if a provider is already enrolled for insurance?
38:13 - Has anyone tried to standardize credentialing?
40:03 - What Varun would change about RCM


Learn more about Assured Health: https://www.withassured.com/
Connect with Varun on LinkedIn:   / varunakrishnamurthy  

Referenced in this episode:
"Reality has a surprising amount of detail" by John Salvatier: http://johnsalvatier.org/blog/2017/re...
"Estonia, the Digital Republic" by Nathan Heller: https://www.newyorker.com/magazine/20...
Aadhaar (India's National ID system): https://en.wikipedia.org/wiki/Aadhaar

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