Worried about your next compliance audit?
You’re juggling spreadsheets and paperwork, constantly fearing that a simple mistake could lead to a failed audit and costly penalties.
The endless manual data entry is tedious, but the risk of non-compliance is what truly keeps you up at night.
According to MGMA, manual processes mean 15-20% of applications containing errors need rework. This constant cycle of corrections drains your team’s time and resources.
The right software solves this by automating compliance tracking, giving you peace of mind and freeing up your schedule.
In this article, I’m going to guide you through the best credentialing software options. I’ll help you find a tool that banishes audit fears for good.
You’ll discover platforms that streamline your workflows, ensure you stay compliant, and make your credentialing process incredibly efficient.
Let’s get started.
Quick Summary:
| # | Software | Rating | Best For |
|---|---|---|---|
| 1 | MedTrainer → | Healthcare organizations of all sizes | |
| 2 | symplr → | Credentialing coordinators & compliance officers | |
| 3 | Modio Health → | Healthcare organizations needing streamlined compliance | |
| 4 | Verisys → | Healthcare organizations mitigating risk | |
| 5 | Availity → | Teams managing provider lifecycles |
1. MedTrainer
Struggling with complex credentialing and compliance?
MedTrainer streamlines your operations with automation and intuitive document management. This helps you get providers in front of patients faster.
You can automate tasks like reminders and notifications, ensuring your processes stay on track. This provides peace of mind regarding audits.
Here’s how it works.
MedTrainer offers primary source verification and automated license verification to keep your provider data current. You also get robust reporting and dashboards for complete visibility.
Its exclusions monitoring and provider enrollment features further simplify managing your healthcare professionals. This means you can efficiently scale your compliance operations. Additionally, the platform provides managed credentialing services and tracks privileges and appointments. This helps you standardize workflows and maintain high-quality patient care, making your life easier.
The result is streamlined credential management.
Key features:
- Automated License Verification: Ensures licenses are current and valid, reducing manual checks and associated risks for your organization.
- Exclusions Monitoring: Regularly screens providers against exclusion lists, helping you maintain compliance and avoid costly penalties.
- Provider Data Management: Centralizes and organizes all provider information, simplifying access and ensuring data accuracy for your team.
MedTrainer features, pricing, & alternatives →
Verdict: MedTrainer is a robust, AI-enhanced best credentialing software for healthcare organizations of all sizes, trusted by 3,000+ clients across 15,000+ facilities. Its comprehensive features, including automated license verification and exclusions monitoring, address critical pain points, ensuring compliance and boosting efficiency for your team.
2. symplr
Are audit fears keeping you up at night?
symplr offers a comprehensive Credentialing solution designed to accelerate your processes and ensure full compliance, eliminating manual inefficiencies that hinder your organization.
This means you can streamline provider onboarding and ongoing data management, while maintaining compliance across the healthcare ecosystem. It’s about giving valuable time back to your teams.
Ready to simplify complex healthcare operations?
symplr’s end-to-end Operations Platform unifies fragmented systems, centralizing workforce, provider, quality, and financial workflows. This enables your teams to focus more on patient care.
You can proactively manage credentialing surges, both expected and unexpected, reducing operational risks and maximizing compliance with evolving regulatory requirements. For example, a Michigan health system developed an NCQA-compliant credentialing program in just three months.
Additionally, symplr supports compliance management through automated tracking and reporting, which is crucial for meeting regulatory standards. The platform also offers robust access management for verifying staff credentials and controlling facility entry, ensuring security and compliance throughout your organization.
Achieve greater efficiency and accelerated growth.
While this focuses on broader compliance, for specific data privacy regulations, my article on best GDPR compliance software offers detailed insights.
Key features:
- Provider data management: Streamlines provider onboarding, credentialing, and ongoing data management to ensure accuracy and compliance across your healthcare ecosystem.
- Compliance management: Automates compliance tracking, reporting, and workflows to meet evolving regulatory requirements and reduce operational risks effectively.
- Unified Operations Platform: Centralizes various workflows, including workforce, provider, quality, and financial, to eliminate complexity and save valuable time.
symplr features, pricing, & alternatives →
Verdict: If you are a credentialing coordinator, IT manager, or compliance officer seeking to streamline credentialing, automate compliance, and ensure audit readiness, symplr is a top contender for the best credentialing software. It effectively eliminates complexities, as seen with Michigan Health System developing an NCQA-compliant credentialing program in just 3 months.
3. Modio Health
Drowning in credentialing chaos? There’s a better way.
Modio Health offers a cloud-based platform that centralizes your team’s credentials and licensure. This simplifies management and ensures your organization remains compliant.
You’ll find Modio OneView eliminates manual inefficiencies, allowing your office staff to focus on other crucial tasks instead of endlessly tracking compliance. This dramatically reduces the time spent on credentialing burdens.
It’s time to streamline your processes.
Modio Health’s OneView platform solves your credentialing dilemmas by providing a secure, easily accessible hub for all your team’s vital information. This means you can manage and store documents in one place.
You can track re-attestation dates with alerts and reports, ensuring you’re always ahead of compliance deadlines. The system also offers prefilled forms for electronic signatures and real-time alerts for expirables.
Additionally, you can monitor CME progress, access customized reports tailored to your needs, and estimate/track processes like payor enrollment and license renewals. This comprehensive approach helps you stay compliant without straining resources.
Keep your staff in compliance effortlessly.
While we’re discussing healthcare solutions, understanding patient engagement software is equally important for holistic care.
Key features:
- Centralized Credential Management: Securely store and access all your team’s credentials and licensure in one cloud-based location, eliminating scattered files and reducing search time.
- Automated Compliance Tracking: Receive real-time alerts for expirables, track re-attestation dates with reports, and monitor CME progress to proactively ensure continuous regulatory compliance.
- Streamlined Workflow & Reporting: Utilize prefilled forms for electronic signatures, track various credentialing processes, and access customized reports for efficient, data-driven management.
Modio Health features, pricing, & alternatives →
Verdict: For those overwhelmed by manual credentialing, Modio Health’s OneView simplifies compliance and banishes audit fears. Its ability to digitize information once, provide real-time alerts, and offer comprehensive reporting makes it a strong contender as the best credentialing software for healthcare organizations aiming to boost efficiency and ensure regulatory adherence.
4. Verisys
Tired of audit fears and manual credentialing nightmares?
Verisys offers real-time, verified data solutions to power your compliance programs. This means you can streamline hiring and enhance clinical compliance efforts.
It directly addresses your pain points by helping healthcare organizations mitigate risk and speed up time-to-network.
Here’s your solution to simplified compliance.
Verisys empowers your organization with comprehensive, automated credentialing that ensures providers meet regulatory standards and helps you manage provider documents effectively.
You can rely on automated data updates for continuous compliance, preventing credentialing lapses. Verisys achieves over 99.95% accuracy, significantly outperforming competitors in speed and reliability.
Their continuous true monitoring means real-time confirmation of good standing for credentials, licenses, and regulatory statuses, ensuring regulatory statuses are always current with real-time alerts. This comprehensive approach helps you reduce operating costs and ensures trust.
Achieve operational excellence in healthcare with Verisys.
Key features:
- Real-time Verified Data: Drive your compliance program with pristine, real-time data, ensuring decisions are backed by Verisys’s impressive accuracy rates.
- Automated Credentialing Solutions: Streamline your compliance management by mitigating credentialing issues and ensuring safe, quality healthcare delivery for all provider types.
- Continuous True Monitoring: Gain ongoing, perpetual credentialing support, allowing for real-time alerts and comprehensive oversight of provider credentials and sanctions.
Verisys features, pricing, & alternatives →
Verdict: Verisys stands out as a strong contender for the best credentialing software, especially for healthcare organizations seeking a unified platform. Its proven 99.95% data accuracy and comprehensive coverage for all provider types make it an excellent choice for mitigating risks and ensuring regulatory adherence across various standards like NCQA and The Joint Commission.
5. Availity
Struggling with compliance and audit fears?
Availity’s Provider Lifecycle Solution streamlines credentialing, simplifying complex processes. This means your team can manage provider updates directly at the source, ensuring accuracy.
You’ll gain control over your entire provider lifecycle, leading to improved data quality and simplified workflows.
Time to find a better way.
Availity helps you automate the right things, delivering accurate information exactly when and where it’s needed. This allows you to receive authorizations in seconds, not days, which is crucial for reducing care delays and ensuring accurate payments.
You can also digitize correspondence, replacing manual processes and reducing print and postage costs. Additionally, their solutions infuse clinical content into administrative workflows, enhancing data quality for optimized downstream processes and helping you prevent denials and unnecessary rework by answering questions completely and early in the healthcare lifecycle. The result is a significant boost in operational efficiency and lower administrative costs.
Key features:
- Provider Lifecycle Solution: Helps you manage the entire provider lifecycle from start to finish, ensuring accurate and up-to-date information for compliance.
- Intelligent Utilization Management: Simplifies the prior authorization review process using AI-driven solutions to minimize care delays and reduce administrative burdens.
- Multi-Payer Portal: Streamlines provider workflows and improves collaboration by connecting you to health plans nationwide for efficient information exchange.
Availity features, pricing, & alternatives →
Verdict: If you’re seeking the best credentialing software to manage provider data, streamline authorizations, and boost overall operational efficiency, Availity offers robust solutions. Its ability to automate critical processes, integrate with existing systems, and ensure compliance makes it a strong contender for your organization.
6. iCIMS
Are audit fears keeping you awake at night?
iCIMS offers a highly-configurable enterprise ATS, empowering you to streamline processes and overcome compliance challenges. This means you can simplify credential management, ensuring everything is in order.
The platform’s features, like automated sourcing and onboarding management, directly address the headaches of manual inefficiencies. With iCIMS, you can confidently navigate compliance demands and audit risks.
Here’s how iCIMS helps.
iCIMS Hire streamlines your hiring, featuring an applicant tracking system and onboarding management capabilities. You can effectively manage candidate credentials and ensure a smooth, compliant transition for new hires.
Additionally, iCIMS Engage allows you to build automated sourcing and nurture campaigns, which is fantastic for maintaining a pipeline of pre-vetted talent, minimizing future credentialing rushes. Plus, the iCIMS AI is built specifically for talent acquisition, helping reduce your time-to-fill by as much as 50% and allowing you to hire confidently with reliable, responsible AI.
This all combines to boost your operational efficiency and ensure regulatory compliance, without straining your precious resources.
Key features:
- Highly-configurable enterprise ATS: This system allows you to streamline hiring and manage applicant data, crucial for tracking credentials and ensuring compliance across your organization.
- Onboarding management: Automate the onboarding process, from document collection to compliance checks, significantly reducing manual effort and minimizing audit risks for new hires.
- AI-driven talent acquisition: Purpose-built AI helps simplify and accelerate hiring processes, ensuring you find the right talent faster while maintaining compliance standards.
iCIMS features, pricing, & alternatives →
Verdict: For healthcare organizations and educational institutions struggling with compliance and audit fears, iCIMS emerges as a strong contender for the best credentialing software. Its configurable ATS, onboarding management, and AI capabilities simplify processes, ensuring you achieve regulatory compliance and significantly reduce audit risks, just like The Cheesecake Factory hires 40,000+ annually.
7. HealthStream
Tired of manual credentialing and audit fears?
HealthStream’s credentialing solutions streamline your entire provider lifecycle, from onboarding to verification. This means you gain [automation, consistency, and crucial insight], eliminating the struggle of manual data management.
Their tools accelerate provider credentialing, privileging, and enrollment, ensuring a seamless, compliance-focused solution for your organization.
Here’s how HealthStream helps.
HealthStream solves common credentialing headaches with specialized modules. You can access their Provider Credentialing solution, a single source of truth for onboarding and credentialing.
Additionally, their Network Credentialing tool provides a single, tailored directory solution, ensuring you don’t waste another minute struggling with provider data. You can also extend in-house capabilities with HealthStream CVO for [primary source verification] and Workforce Validate for automated license, SAM, and OIG exclusion checks. Plus, Provider Portfolio lets you collect, store, and share your data your way.
The result is streamlined operations and enhanced patient safety.
Key features:
- Provider Credentialing: A unified platform to manage provider onboarding and credentialing processes, acting as a single source of truth for all critical data.
- Network Credentialing: Centralizes provider data into a tailored directory, making it simple to manage and validate large networks without struggling with disparate information.
- HealthStream CVO & Workforce Validate: Extends your in-house verification capabilities, automating primary source verification and ongoing license, SAM, and OIG exclusion monitoring for compliance.
HealthStream features, pricing, & alternatives →
Verdict: HealthStream is a strong contender for the best credentialing software, especially if you prioritize comprehensive compliance and operational efficiency. Its ability to accelerate provider credentialing and provide automated verification checks directly addresses the pain points of audit fears and manual inefficiencies, as evidenced by a customer stating CredentialStream being a “one-stop shop for all your credentialing needs.”
Conclusion
Audit fears still keeping you up?
I know choosing the right tool is overwhelming. The constant risk of non-compliance from manual processes is exhausting and frankly, dangerous for your organization.
A CAQH study reveals automation can reduce verification time by 60%. This isn’t just a small improvement; it’s a fundamental shift that frees your team to focus on patient care, not paperwork.
Here’s my top recommendation.
From everything I’ve reviewed, MedTrainer is the clear winner. Its comprehensive automation directly tackles the credentialing headaches and audit fears we’ve discussed.
Its AI-enhanced platform with automated license verification and exclusions monitoring is a game-changer. For your growing facility, the best credentialing software makes compliance nearly effortless.
I strongly suggest you book a free demo of MedTrainer to see firsthand how it transforms your workflow and eliminates audit stress.
You’ll finally regain your peace of mind.
