OMC Recognizes Delegated Credentialing Team for outstanding audit achievements

Pictured: Scott Kennedy, MD, Chief Medical Officer; Kristin Rixon; Sally Rowland; and Darryl Wolfe, Chief Executive Officer

The team continues to work diligently to improve and streamline the provider credentialing process, which has a positive impact on patients, providers and revenue.

Olympic Medical Center (OMC) is pleased to acknowledge the accomplishments of our Delegated Credentialing Team.

Their exceptional performance in recent audits has demonstrated their dedication to maintaining high standards of quality and efficiency in our credentialing processes.

The recognized employees include Credentialing Specialists Sally Rowland, Marisa Bleck and Kristin Rixon, and Credentialing, Contracting, and Reimbursement Analyst Stacy Nikodym.

Credentialing ensures doctors and other medical professionals are qualified to perform their work. Credentialing also helps medical centers like OMC receive timely payments from insurers, and avoid delayed or denied reimbursements for treatment, making it a particularly vital resource during OMC’s financial recovery. The team continues to work diligently to improve and streamline the provider credentialing process, which has a positive impact on patients, providers and revenue.

Recent audits have evaluated the credentialing processes managed by this team and demonstrate that our processes are working smoothly. Here’s how our provider credentialing team excelled in recent audits by insurer:

• Molina: Achieved a perfect score of 100%.
• Premera: A perfect score of 100%.
• Results for Regence and Community Health Plans of Washington are still pending.

In another evaluation by the Health Industry Collaboration Effort (HICE) in 2023, our team showcased their commitment to quality:

• United Healthcare: Earned a score of 100%.
• Elevance/Anthem/Amerigroup: Impressive score of 99.7%.
• First Choice Health: Another score of 99.7%.
• TRICARE/HNFS: Received unanimous approval from the evaluators.

Dr. Scott Kennedy, Chief Medical Officer at Olympic Medical Center, praised the team’s achievements, stating, “The Credentialing Team’s outstanding results highlight their dedication to ensuring the best possible processes. Their contributions play a crucial role in upholding our hospital’s standards.”

Liz Uraga, Director of Quality Support Services, echoed this sentiment, saying the team’s efforts, “have led to smoother processes that benefit everyone.”