Overview

Facing the complexities of managing credentials for over ninety providers, a leading surgical center partnered with Knack RCM to streamline and automate its credentialing process. Knack implemented a tailored solution that included automated notifications, proactive reappointments, and continuous monitoring of expirables. This strategic approach ensured seamless compliance, eliminated potential revenue losses, and allowed the center to maintain uninterrupted operations.

Challenge

This prominent surgical center operated at high capacity, with a team of over ninety providers and a packed schedule of patient procedures. However, its success was threatened by a significant administrative challenge—an outdated, manual approach to managing credential expirables and tracking reappointment dates.

ACE turned to Knack RCM to:

Despite internal efforts, the lack of automation and real-time tracking tools meant the credentialing team struggled to keep up with the demands of managing multiple providers across departments. The oversight increased the risk of missed reappointments and expired credentials, exposing the center to potential revenue loss from denied claims or delayed surgeries

Solution

Knack RCM implemented a comprehensive and automated credentialing management system tailored specifically to the surgical center’s needs. The solution was multifaceted, leveraging technology and proactive management to prevent credentialing issues before they occurred.

Automated Notifications

Using STATCred software, the credentialing team received automated email reminders 90, 60, and 30 days before reappointment deadlines. The system also tracked deadlines directly on the dashboard for continuous visibility

Proactive Reappointments

Knack’s team took charge of completing all necessary reappointments well in advance, ensuring the surgical center’s credentials were continuously updated and preventing any potential disruptions to patient care or revenue flow.

Continuous Expirables Monitoring

Knack established a monitoring system for provider expirables, with automated reminders sent regularly to ensure the credentialing team remained informed of upcoming expirations.

Document Management

As credentials were renewed, expiration dates were updated, and all necessary documentation was securely uploaded into STATCred for centralized management, allowing for ongoing management and easy access at any time.

Weekly Reporting

To maintain transparency and accountability, Knack provided the surgical center with detailed weekly status reports. These outlined completed tasks and ongoing credentialing efforts, ensuring the client had full visibility into the process.

Results

Implementing Knack’s automated monitoring and tracking system resulted in a significant financial safeguard for the surgical center. By eliminating manual processes and ensuring continuous compliance.

The center experienced zero dollars in lost revenue due to credentialing issues.

This proactive approach not only secured the center’s financial health—it also greatly simplified the credentialing process,
enabling the administrative team to focus on core functions that support patient care. By ensuring no credential gaps, the surgery center could:

  • maintain its high operational standards
  • avoid disruptions
  • maintain a smooth, uninterrupted flow of procedures.