QGenda Credentialing Software empowers data-driven credentialing for optimized team performance and accelerated time-to-credential. It helps healthcare organizations streamline credentialing, privileging, and payer enrollment processes to improve patient access, ensure compliance, and accelerate time-to-revenue. Overview: QGenda Credentialing Software offers a comprehensive solution to manage the complexities of provider credentialing. It addresses the challenges of slow turnaround times, manual processes, and data silos that can lead to delays, compliance risks, and lost revenue. By automating key tasks, providing real-time visibility into provider data, and integrating with existing healthcare IT systems, QGenda enables organizations to optimize their credentialing workflows and achieve significant improvements in efficiency and accuracy.

Features

• Configurable Workflows: Highly configurable workflows streamline task and time management, provide visibility into credentialing status and progress, and enable continuous measurement of speed, productivity, and bandwidth for greater efficiency and faster time-to-credential.
• User-Friendly Dashboards: User-friendly dashboards give actionable insight into credentialing timelines, team performance, and bandwidth. Robust filtering and drill-down visuals uncover trends, highlight inefficiencies, and identify opportunities for data-driven adjustments that help managers accurately plan future staffing, improve productivity, and ultimately accelerate time-to-credential.
• Integration to CAQH: Integration to CAQH auto-populates Provider Profile information to expedite the initial application process, while self-onboarding via the Provider Portal makes it simple for providers to complete, submit, and access documents and view credentialing status. Providers can access credentialing and scheduling with a single login.
• Automated PSVs: Automated PSVs for state licenses (including those with CAPTCHA), DEA, SAM, OIG, and more save time and effort. Proactive alerts for upcoming expirations and automated monitoring for sanctions, exclusions, and licensure status changes improve safety and compliance.
• Browser Extension and E-Signing: A unique browser extension lets you auto-fill any PDF document or online application (even those requiring a login or password), while embedded e-signing increases flexibility. An extensive library of pre-mapped applications and unlimited form mapping are included at no extra cost.
• Digital Packets and Virtual Committee Review: Automatic generation and sharing of digital packets and fully virtual committee review save time and increase flexibility. Simplified management of OPPE/FPPE workflows and real-time Provider Lookup reduce manual effort and drive efficiency.
• OPPE/FPPE Management: Schedule and facilitate OPPEs, FPPEs, and peer reviews directly in QGenda, with the ability to track and report on review dates, participants, statuses, outcomes, and more. Automatically trigger FPPE based on performance thresholds measured by quality system, and invite providers and reviewers to interact with the review via user-friendly portal for a seamless experience.
• Reporting Tools: Robust, user-friendly reporting tools let you autonomously create and configure reports in minutes — with no coding required. All fields are reportable including custom, user-defined fields, making it easy to stay on top of credentialing status, progress, and effort for better decision making.
• Integration Capabilities: Integration with the credentialing network (AMA, FSMB, NPDB, etc.) and your enterprise healthcare IT ecosystem (HRIS, EHR, CCV, etc.) enables smooth data transfer and system-wide visibility into current, accurate, and consistent workforce data.

Benefits

• Drive a healthy revenue cycle: Accelerate time-to-value with faster credentialing that enables providers to deliver patient care and services sooner.
• Achieve compliance and protect patient safety: Improve data accuracy to ensure provider records are current and minimize potential compliance and safety risks.
• Increase staff productivity: Improve efficiency and reduce errors with automated features that let staff manage credentialing for more providers in less time.
• Boost provider and staff satisfaction: Deliver a seamless provider onboarding experience, while minimizing manual work and administrative burden for providers and staff.
• Empower data-driven decisions: Gain real-time visibility into a single, up-to-date source of truth for provider data to proactively understand workforce needs and plan staffing.
• Connect and unify provider data: Eliminate silos and enable seamless data exchange between QGenda solutions and your larger healthcare IT ecosystem for unified workforce management.