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Credentialing File Workload per Specialist/Coordinator
Posted by [email protected] on Apr. 14, 2023 / Best Practices / Subscribe 1
Does anyone have any information pertaining to the recommended number of credentialing files that should be assigned to a single staff member?
1 Comments
Katia Jones Bealer, BS, CPMSM, CPCS
May. 15, 2023
According to VerityStream's research found here https://www.veritystream.com/resources/details/blog/2022/07/28/understanding-medical-staff-to-provider-ratios "Over the last couple of years, we have included a question on the Annual Report on Medical Staff Credentialing Survey asking what the volume of providers per staff member is. The numbers have shifted a bit with the majority responding one staff member for each 151-350 providers (approximately 40% with split between 151-250 and 251-350). In 2018 we held a Town Hall virtual meeting for our clients who were CVOs. During this we discussed the topic of staff to provider volume ratios and the related turnaround times. In an example, we had CVOs with one FTE to 400-500 providers with a turnaround time of 31-40 days while another with 600-700 providers per FTE took the same turnaround time. Though these questions were asked of different types of organizations, you can see how varied the results are. This insight showed us that the answer to the question about staffing and volume is one that is difficult and can see why it is still up for discussion. These answers given by individuals make sense, but ultimately the answer is often - well it depends."