Data Management
The VIPsystem is a comprehensive core system that provides functionality for all aspects of provider information management including:
Credentialing
- Primary Source Verification
- Rules-Based Pending Process
- Internet and Automated Verifications
- Mass Processing, Aging Dates, Ticklers
- Automated Recredentialing
- Automated Credentials Committee Management
- Sanctions Reporting
- Mass Update Status and Dates
- Mass Update Post Committee Notes to Records
Provider Data
- Demographics
- Privilege Delineation
- Treatment Modalities
- Practice/Office Details
- Special Services by Location and Per LOB
- Directory Flags
- Exports to Legacy Claims Systems
- Fee & Dues
- CME
- Committees
Provider Network Management
- Enrollment
- Entity Management
- Line of Business Management
- Delegation
- Contact Management
Provider Contract Administration
- Fee Code Management
- Application Population/Renewal
- Status Management and Pending Process
- Special Services tracking with fees and explanations
- Tier Identification
- Contract Tracking
Quality Management
- Quality Improvement
- Peer Review
- Corrective Action Management
- HEDIS
- FPPE/OPPE
Site Survey Module
- Facility Site Survey
- Chart Review
- Performance Improvement
- JCAHO Self Assessment Reviews
- Delegation Reviews
- Scheduling Function
