IntelliCred™
IntelliCred credentialing software suite from IntelliSoft Group automates the entire primary source verification process and includes all the features needed to manage the complex task of physician credentialing, re-credentialing, quality data - including OPPE/FPPE requirements, and privileging. Its flexible architecture is scalable, meeting the demands of small single-user thru multi-user/multi-facility environments. IntelliCred for Windows | Web credentialing software from IntelliSoft Group is a state-of-the-art technology that will streamline you're the medical staff professional's credentialing process for greater productivity and more cost-effective results.
With IntelliCred you'll enter the world of automated credentialing and privileging. Every aspect of the IntelliCred Windows | Web credentialing software suite has been tailored to ensure the highest level of productivity and cost savings for your busy credentialing department. This allows you, the medical staff professional, to focus on your core area of responsibility as the gatekeeper of quality care.
IntelliCred is a customizable, user-friendly solution built for Windows or Web-based deployment and can even be provided in a SaaS (software as a service) environment. With its flexible architecture, you can create the function, look, and feel that suits your particular credentialing needs. IntelliCred Windows | Web goes beyond performing the many tasks of credentialing. From data entry, to logging and tracking application status and Action Items, to automatic generation of forms and letters, even scheduling credentialing committee meetings, IntelliCred Windows | Web manages the entire credentialing process.
IntelliCred automates your primary source verifications even further with cutting edge WebCrawler technology. WebCrawler allows you to automatically verify credentials using any primary source that has a web site. This can be done for a single practitioner or in batch mode for many practitioners at once.
- Meets all NCQA, JCAHO, and URAC credentialing standards.
- Supports OPPE/FPPE tracking and reporting needs and other quality initiatives.
- Ideal for all sizes of enterprises - from growing organizations, to those considering future centralization, to established operations.
- Affordable, user-friendly solution that' can be customized to fit any budget.
- Scalable software architecture enables you to create the function, look, and feel that suits your particular requirements - available as SaaS.
- Improves efficiency with batch processing of primary source verifications.
- Entire credentialing process is managed from one screen - you can navigate anywhere to any function without the hassle.
- Easily installed modules and upgrades without expensive data conversion or time-consuming data restructuring.
- Tightly integrates with Microsoft® Word for Windows to generate completely customizable verification and correspondence letters.
- ODBC compliance means IntelliCred Windows | Web is accessible by other software applications and also permits the use of many other report writer applications.
- True client/server network-ready solution.
- Can be set up for single-user through multi-user and multi-facility configurations.
- Responsive technical support team and comprehensive training program.
- WebCrawler allows you to automatically perform verifications, reducing administration time and costs.
- One click interface with the OIG, NPDB, and other verification websites.
- Seamless integrations with IntelliApp Windows | Web to support automated payer/provider enrollment.
- Integrated functionality with the Universal Provider Data source (UPD), a CAQH initiative.
How IntelliCred Works
Practitioner Folder
- The Practitioner Folder is your doorway to the credentialing process. From this single screen you can:
- Control data entry.
- Perform audits.
- Process letter printing.
- View and act on verification Action Items.
- Check on the status of any Action.
- Create Profiles.
- View History.
Application Audit
The Application Audit is your conscience and reminder when collecting data and documents for provider credentialing and re-credentialing. You define a list of required data and documents necessary for initial and reappointment applications, and you can track multiple sets of document requirements.
When required data is missing, you can generate a Request for Missing Information via letter, fax, or phone call. The system logs and tracks each attempt made to collect information, and a built-in analysis report displays missing data and documents by provider.
Data Entry Features
Throughout IntelliCred Windows | Web, there are drop-down lookup tables, drop-down calendars for date fields, and built-in validation rules to assure quick and accurate data entry.
IntelliCred Windows | Web collects more than 700 data elements categorized into 30 different screens. You can customize specific data entry screens and organize them to follow your credentialing application, making data entry faster and more efficient.
Action Items
Action Items are the detailed collection of tasks to be performed for all or for a selected group of providers in your system. Using simple drill-down capabilities, you can view and act on detailed Action Items individually or in Batch Mode.
Action Items are displayed by activity type, facility, user, or for all credentialing activities to help you better manage your workload.
- From the Action Items screen you can:
- View the status of the verification process in graphical or detail format.
- View expiring credentials and appointments in graphical or detail format.
- Print letters individually, by type, or all at once.
- Post verification results received from primary sources.
- Automatically re-generate letters for verifications for which no response was received.
- Export data required for NPDB queries.
- Batch process OIG queries.
- View lists and act on verification calls to be made.
- Generate web verification inquiry lists and access automated hyperlinks to the appropriate web sites.
- Filter and sort open items for batch verification processing.
Painters
With the unique Screen Painter, View Painter, and Look-up Painter, you can customize your entire credentialing environment. In addition to saving time in the data entry process, you can customize screens for each facility or department that requires access to the data, assuring a higher level of data security and easier information accessibility.
Meetings/Rosters
With the Meeting Scheduler, you can schedule an unlimited number of Credentialing Committee meetings. You maintain reusable roster lists for regular department and other recurring meetings. You can print attendance lists for meeting sign in, and you can post, track, and report on them.
Reporting and Analysis
IntelliCred Windows | Web contains more than 75 standard reports to provide data analysis, lists/rosters, practitioner/provider summaries and detailed information, and practitioner/provider verification results details. The flexible Provider Profile report is the optimum tool for transferring credentialing results and information to the Credentialing Committee. You can expand the reporting capabilities of IntelliCred by adding our IntelliReport ad-hoc report writer. Because IntelliCred Windows | Web is OBDC compliant, it also works with many other report writer software applications so you use the application that is right for your needs.
Security and Roles
Security and Roles expands on the IntelliCred Windows | Web core security. Here, the Administrator sets up individual role assignments to each user, and these roles determine which menus, options, screens, buttons, and fields each user can access.