Thought Leadership

New Perspectives To Improve the Credentialing Industry

Category: Federally Qualified Health Centers

How Artificial Intelligence Can Aid Post-Merger Integration

As seen in Health Data Management: Written by Scott Friesen, CEO of Newport Credentialing Solutions More than just a buzzword, artificial intelligence is already proving to be a game changer for organizations across a variety of industries—despite being in its infancy stage. Building off digital transformation, AI empowers organizations to leverage vast of amounts of… Read More

As seen in Health Data Management: Written by Scott Friesen, CEO of Newport Credentialing Solutions

More than just a buzzword, artificial intelligence is already proving to be a game changer for organizations across a variety of industries—despite being in its infancy stage.

Building off digital transformation, AI empowers organizations to leverage vast of amounts of data that is collected and generated. Using machine learning, AI enables mountains of data to be analyzed for trends and insights at rates much faster than what any human can deliver.

For example, wealth management companies utilize AI and algorithms to scan data in the markets to predict the best stock or portfolio based on preferences. Advertisers use AI to target consumers by seeking out specific audience characteristics.


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Health Data Management is the original producer of this publication.

210+ Healthcare Revenue Cycle Companies to Know | 2019

As seen in Becker’s Hospital Review. Becker’s Hospital Review has named Newport Credentialing Solutions to its list of “Healthcare Revenue Cycle Companies to Know in 2019.” The companies were cited for their ability to assist hospitals, health systems, physician practices, and healthcare organizations with increasingly complex revenue cycles, and helping them work with government and… Read More

As seen in Becker’s Hospital Review.

Becker’s Hospital Review has named Newport Credentialing Solutions to its list of “Healthcare Revenue Cycle Companies to Know in 2019.” The companies were cited for their ability to assist hospitals, health systems, physician practices, and healthcare organizations with increasingly complex revenue cycles, and helping them work with government and private payers and patients to collect.

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TractManager Announces Appointments of Two New Executives

CHATTANOOGA, Tenn. & DALLAS–(BUSINESS WIRE)–TractManager, Inc., the healthcare industry’s largest supplier of strategic sourcing and contract lifecycle management (CLM) solutions, has announced the recent appointment of two new executives: Graham Barnes, General Manager of the MediTract division, and Rick Solano, Chief Operating Officer of the Newport Credentialing division. “The addition of these accomplished executives to… Read More

CHATTANOOGA, Tenn. & DALLAS–(BUSINESS WIRE)–TractManager, Inc., the healthcare industry’s largest supplier of strategic sourcing and contract lifecycle management (CLM) solutions, has announced the recent appointment of two new executives: Graham Barnes, General Manager of the MediTract division, and Rick Solano, Chief Operating Officer of the Newport Credentialing division.

“The addition of these accomplished executives to our management team puts us in an even stronger position to bring real transformation to healthcare,” said Trace Devanny, CEO of TractManager. “Their expertise in healthcare, technology, and client services will further advance our suite of contract management and physician credentialing solutions, as we enable healthcare organizations to focus on what they do best: care for patients.”

Graham Barnes, FACHE, has nearly 30 years of C-level experience transforming organizations in the healthcare technology and communications industries, and more than 10 years as CEO of leading healthcare IT companies including Concerro and Healthwyse. In addition to accelerating the growth of healthcare and information technology companies, Graham’s expertise includes product and strategy development. Most recently, he served as Industry Executive Partner with Inverness Graham Investments, a private investment firm that acquires high-growth, innovative manufacturing, technology, and services companies. Barnes holds a BS degree in Electrical Engineering from Imperial College, University of London, in the U.K., and an MBA degree from Santa Clara University. Jake Sorg, TractManager’s Chief Operating Officer and formerly acting General Manager of MediTract, welcomed the addition of Barnes to the company. “I can’t think of a more capable person than Graham to take the reins of our industry-leading CLM solution,” he said. “Graham will further advance our contracting, credentialing, and professional services offerings to meet the most pressing needs of the healthcare market.”

Rick Solano brings nearly 25 years of experience in healthcare IT to the Newport Credentialing division of TractManager. Rick’s expertise includes increasing operational efficiency, quality, and capacity as well as developing new revenue models and growth strategies. Most recently he served for five years as president and founder of Turning Point Business Advisors, where he provided business management consulting services across a variety of industries, including healthcare IT.

Jake Sorg noted, “Rick’s experienced leadership in both domestic and international healthcare technology businesses will be put to good use as we expand our credentialing and CVO solutions across the provider and payer markets.”

Previously Rick was president and CEO of the Institute for Health Metrics and of Mirixa, a pharmacy-based patient care network. Rick also served in executive positions in product marketing and operations at leading healthcare IT companies, including WebMD and QuadraMed.

He received his BA degree in Geography from University of California, Santa Barbara, and his MBA from California Lutheran University.

 

About TractManager

TractManager’s healthcare-specific application suite serves three out of five U.S. hospitals. Serving the healthcare industry with integrity for more than 30 years, TractManager is the first-mover in strategic sourcing and enterprise contract lifecycle management. Our advisory services wrap around each solution component, optimizing purchasing and service category management, while supporting best-practice, compliant contracting processes. The company’s strategic sourcing division, MD Buyline, includes Hayes, the industry leader in providing clinically focused, evidence-based research and analysis to health plans, insurers, hospitals, healthcare systems, ACOs, and government agencies, and MedApproved, a new product approval workflow solution. The MediTract division supports hospitals and healthcare facilities with an enterprise contract lifecycle solution, and includes Newport Credentialing Solutions, the nation’s premier provider of cloud-based workflow and analytics software, and cloud-enabled services dedicated to the credentialing lifecycle. Together, we are dedicated to helping our clients reduce their capital and non-labor costs, and conform their contract, policy, and procedure management to meet regulatory requirements.

Contact:

TractManager, Inc.

Sandra L. Taylor, Ph.D.

Chief Marketing Officer

800-375-5463

sandra.taylor@tractmanager.com

 

Click here to learn more.

 

How Credentialing Systems Can Create a Competitive Edge for Payers

As seen in Becker’s Hospital Review. Written by Scott Friesen, CEO of Newport Credentialing Solutions. In the highly-competitive insurance industry, payers are constantly tasked with finding new ways to differentiate themselves from their competition. An often-overlooked opportunity to stand out among the crowd is the provider data management and the credentialing process. Credentialing starts during… Read More

As seen in Becker’s Hospital Review. Written by Scott Friesen, CEO of Newport Credentialing Solutions.

In the highly-competitive insurance industry, payers are constantly tasked with finding new ways to differentiate themselves from their competition. An often-overlooked opportunity to stand out among the crowd is the provider data management and the credentialing process.

Credentialing starts during the physician on-boarding process. Recruitment of providers onto payer panels is critical to a payer’s success and presents a unique first-impression opportunity for payers. This is where a payer sets the stage for the physician relationship going forward. A smooth, automated on-boarding process is key to achieving physician satisfaction and creates a positive start to the relationship. Identifying additional ways to add value throughout the credentialing lifecycle is essential to maintaining a mutually beneficial relationship.

For example, collecting information and providing it to a physician, who in turn can pass it along to their patients, improves patient satisfaction, and therefore physician satisfaction. Something as basic as the layout of a building can add significant value to both physicians and patients. Knowledge of which doorway patients must go through or whether a clinic is on the first or second floor is important to patients with limited mobility as it represents ease of access. Payers that are able to track this level of detail, which is then passed onto the patient, differentiate themselves from those payers that can’t track this information. The result is happier physicians and patients.

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Industry Voices – Hospital credentialing systems are no longer enough for payers

As seen in FierceHealthcare, written by Scott Friesen, CEO, Newport Credentialing Solutions Built on the theory that some things just don’t fit, the square-peg-in-a-round-hole analogy can easily be used to describe the process in which insurance payers manage provider credentialing. Most insurance payers rely on hospital credentialing platforms to do payer-specific credentialing. And while there… Read More

As seen in FierceHealthcare, written by Scott Friesen, CEO, Newport Credentialing Solutions

Built on the theory that some things just don’t fit, the square-peg-in-a-round-hole analogy can easily be used to describe the process in which insurance payers manage provider credentialing.

Most insurance payers rely on hospital credentialing platforms to do payer-specific credentialing. And while there is a lot of overlap between hospital and payer credentialing activities, particularly with regard to primary source verification, hospital credentialing systems are the square peg.

The payer problem

Some payer-specific credentialing systems are available, but they are typically homegrown and therefore not adaptable, or they lack true enterprisewide capabilities. As a result, most insurance companies use hospital credentialing systems that come with their own set of problems. Because hospital credentialing systems are built for the specific needs of a hospital, they lack the data tracking and automation capabilities payers need to be successful and compliant.

In the highly competitive insurance industry, payers are constantly tasked with finding new ways to differentiate themselves from their competition. Enhancing the physician on-boarding process through electronic automated processes as well as providing physician-specific data are two ways that payers can improve physician satisfaction and ease that process.

Consider, for example, the layout of a building.

Knowledge of which doorway patients must go through or whether a clinic is on the first or second floor may seem like insignificant details to some, but for a patient with mobility issues, a doorway or floor can represent ease of access. Collecting this information and providing it to the physician, who in turn can provide it to their patients, improves patient satisfaction—and therefore physician satisfaction. Payers that are able to track this level of detail for patients are much more appealing for a provider to work with.

And while this information is important to payers, physicians, and patients, it is often less relevant to the hospital for compliance purposes and therefore, is not tracked in hospital credentialing systems.

Another example of ill-fitting hospital credentialing systems is the inability to perform roster maintenance. Payers sell different types of insurance. They need a place to store customized rosters for their specific products and a process for managing this information. Because this information is irrelevant to the hospital, hospital credentialing systems don’t offer data fields or an easy method to track, store and easily report this data. As a result, payers must use yet another system to manage their roster maintenance.

Despite limitations, hospital credentialing systems are force-fit by payers. To offset the shortcomings of these systems, payers use multiple systems to address their unique credentialing needs. This siloed approach, however, is inefficient. Because data is housed in disparate systems, it is less accessible, which diminishes its value.

A brighter future for payers

Insurance payers no longer need to play second fiddle to hospitals when it comes to their credentialing technology platform needs. While it’s been a long time coming, payer-specific enterprise credentialing platforms are slowly entering the market. Vendors have taken what they’ve learned from hospital credentialing systems and incorporated best practices to create highly customizable credentialing platforms that meet the specific needs of the payer market.

These systems are flexible and nimble; enterprise-based and in the cloud, so they can be used by multiple groups in multiple states across the country. Further, improvements in business intelligence, analytics and advanced reporting ensures that payers can easily report on their data as well as use that data in actionable ways to improve physician and patient satisfaction. Customized payer platforms also improve efficiency and reduces costs for payers.

While this is considerable progress, additional development must take place on the payer side. Integrating payer credentialing software with contract life cycle management will further streamline processes.

This integrated platform is available to hospitals today and the benefits are significant. Using an integrated credentialing and contract life cycle management system, hospitals can save significant time by eliminating duplicate data entry.

Integrated platforms also offer hospitals cross-team access to provider data, which allows everyone involved in getting a payer ready to bill to track where a contract is each step of the way while greatly speeding processes. Similar benefits can be experienced by payers when payer credentialing systems are integrated with contract lifecycle data.

It’s time for payers to seek the right fit. Settling for a hospital credentialing system that can’t be customized to a payer’s specific data needs is no longer enough to be successful in today’s competitive insurance landscape.
 
 
This article was originally published in FierceHealthcare.
 
 
 
 

Allyson Schiff | 102 Women in Health IT to Know in 2019

As seen in Becker’s Hospital Review. Allyson Schiff, Vice President of Operations at Newport Credentialing Solutions, was recently honored by Becker’s Hospital Review as one of “102 Women in Health IT to Know in 2019.” In its announcement, Becker’s acknowledged the women for their “significant contributions to health IT advancements, leading large teams, initiatives and… Read More

As seen in Becker’s Hospital Review.

Allyson Schiff, Vice President of Operations at Newport Credentialing Solutions, was recently honored by Becker’s Hospital Review as one of “102 Women in Health IT to Know in 2019.”

In its announcement, Becker’s acknowledged the women for their “significant contributions to health IT advancements, leading large teams, initiatives and companies focused on improving patient care.” The publication stressed the importance of health IT leaders and vendors to healthcare organizations and clinicians across the country as they strive to achieve optimal outcomes and deliver a seamless patient experience.

Newport Credentialing Recognized by CIOReview Magazine as 50 Most Promising Healthcare Solution Providers – 2019

An annual listing of the best vendors who provide exceptional solutions to enhance the entire healthcare experience for both providers and patients. The healthcare industry is undergoing a tremendous change as hospital closures and M&A activity continue to shake up the industry. Hospitals are closing at a rate of about 30 a year according to… Read More

An annual listing of the best vendors who provide exceptional solutions to enhance the entire healthcare experience for both providers and patients.

The healthcare industry is undergoing a tremendous change as hospital closures and M&A activity continue to shake up the industry. Hospitals are closing at a rate of about 30 a year according to the American Hospital Association. Meanwhile, M&A activity reached a record $156 billion in the first quarter of 2018 according to data compiled by Bloomberg. And while the third quarter saw a modest slowdown in M&A activity, analysis released by Kaufman, Hall & Associates, LLC., cites total revenue transacted through the third quarter of 2018 was still an impressive $10.7 billion.

Continuing uncertainty within the healthcare space has hospitals and health systems seeking new ways to generate revenue. According to Scott Friesen, CEO of Newport Credentialing Solutions, getting and keeping physicians and surgeons billing will help to stabilize margins.

“On average, a physician/surgeon generates $1.56 million annually for their affiliated hospitals. If a physician isn’t billing to their fullest potential, serious revenue may be lost,” says Friesen.“Newport offers an integrated approach for managing the physician contract and credentialing lifecycle, which is essential for eliminating the bottlenecks and oversights that commonly keep physicians from billing and getting paid.”

When contracts sit in limbo, credentialing and enrollment processes are delayed which means providers cannot bill. To eliminate unnecessary interruptions, Newport offers best-of- breed, cloud-based contract lifecycle and provider data management technology. Newport’s integrated provider data management platform was developed following the successful February 2018 merger with TractManager, a provider of strategic sourcing applications.

Newport’s automated contract lifecycle management technology accelerates contract creation and approvals by aggregating everyone involved in the process of reviewing, signing, extending, and renewing contracts into one workflow. As a result, physician contracts are completed at an average of 31 days faster than when using a manual process. The contract lifecycle management technology provides direct visibility into expired/ expiring contracts as well as duplicate contracts. It also allows alerts to be set in advance of expiring contracts to ensure nothing is overlooked or missed.

Newport’s technology provides cross-team (contract and credentialing) access to provider data so everyone involved in getting a payor ready to bill can track where a contract is each step of the way. Automated alerts let the credentialing team know when contracts are complete so they can immediately begin working on privileging and then enrollment. Integration greatly reduces the timeframe it takes for all of this to happen in comparison to each process being separate and disconnected.

By integrating credentialing and provider enrollment data into a single system, Newport is able to automate the workflow of the entire credentialing lifecycle. Newport’s technology manages each provider through the process of primary source verification, privileging, and provider enrollment, as well as maintaining PAR status after the provider is enrolled. Once a provider’s participation in health plans is secured, and approval to bill the plan for services rendered is achieved, Newport’s technology tracks deadlines to ensure the provider remains properly enrolled at all times.

Newport is the only credentialing solution provider to offer a cloud-based, fully integrated contract lifecycle and provider data management system. The company has a stellar reputation among clients and works with them as long-term partners. Newport continues building upon its technology to further simplify the complex process of provider data management for hospitals and health systems. This includes the development of a primary source verification module for insurance companies. Newport’s new module will link all contracting healthcare providers and payers together in a single enterprise-wide platform. In doing so, Newport is seeking to eliminate provider data silos which enables healthcare systems to improve revenue, as well as physician and patient satisfaction.

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Why Physician Billing Holds the Key to Preventing Hospital Closures

As seen in Health Data Management: Written by Scott Friesen, CEO of Newport Credentialing Solutions According to the American Hospital Association, hospitals are closing at a rate of about 30 a year. A recent Bloomberg article predicts the pace of closures to accelerate over the next 18 months. In August, Knoxville, Tenn.-based Curae Health and… Read More

As seen in Health Data Management: Written by Scott Friesen, CEO of Newport Credentialing Solutions

According to the American Hospital Association, hospitals are closing at a rate of about 30 a year. A recent Bloomberg article predicts the pace of closures to accelerate over the next 18 months.

In August, Knoxville, Tenn.-based Curae Health and its three hospitals in Mississippi filed for Chapter 11 bankruptcy. In July Rockdale, Texas-based Little River Healthcare, its parent company and several of its affiliated entities entered Chapter 11 bankruptcy. In May, Arizona-based Gilbert and Florence Hospitals at Anthem entered Chapter 11 bankruptcy. The list goes on.

Bloomberg goes on to quote Morgan Stanley analysts who looked at data from roughly 6,000 U.S. private and public hospitals and concluded eight percent are at risk of closing; another 10 percent are considered “weak.” The firm defined weak hospitals based on criteria for margins for earnings before interest and other items, occupancy and revenue. The “at risk” group was defined by capital expenditures and efficiency, among others.

 
 

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Health Data Management is the original producer of this publication.
 
 

3 Tips to Avoid Post-M&A Revenue Disruptions

As seen in Becker’s Hospital CFO Report: Written by Scott Friesen, CEO of Newport Credentialing Solutions Healthcare merger and acquisition (M&A) activity is at an all-time high. For hospitals and health systems looking for new ways to stay competitive and expand their offerings, mergers and acquisitions have become a viable option. While healthcare organizations have… Read More

As seen in Becker’s Hospital CFO Report: Written by Scott Friesen, CEO of Newport Credentialing Solutions

Healthcare merger and acquisition (M&A) activity is at an all-time high. For hospitals and health systems looking for new ways to stay competitive and expand their offerings, mergers and acquisitions have become a viable option.

While healthcare organizations have gotten better at post-M&A integration throughout the years, it is not uncommon for revenue disruptions to occur because of an oversight. One common area that is often overlooked is provider data management (PDM). When provider contracting and data management are not factored into M&A integration plans, hospitals and health systems put themselves in a costly financial position.

To avoid post-M&A revenue disruptions associated with provider data management integration issues (this includes credentialing and provider enrollment), consider the following…

 
 

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Becker’s Hospital CFO Report is the original producer of this publication.
 
 

Healthcare M&A Activity Elevates The Importance Of Provider Data Management

As seen in Health IT Outcomes: Written by Scott Friesen Following a record year of healthcare mergers and acquisitions (M&A), there are no signs of a slowdown. In fact, according to data compiled by Bloomberg, in the first quarter of this year, M&A activity reached a record $156 billion. Philadelphia-based Einstein Healthcare Network and Jefferson… Read More

As seen in Health IT Outcomes: Written by Scott Friesen

Following a record year of healthcare mergers and acquisitions (M&A), there are no signs of a slowdown. In fact, according to data compiled by Bloomberg, in the first quarter of this year, M&A activity reached a record $156 billion. Philadelphia-based Einstein Healthcare Network and Jefferson Health announced their intent to merge. Meanwhile Grand Rapids-based Spectrum Health, one of Michigan’s largest not-for-profit health systems, and Lakeland Health, a three-hospital system based in St. Joseph, signed a letter of intent to merge. These are just two of many M&A examples.

While hospitals and health systems have gotten better at post-M&A integration throughout the years, one area continues to be overlooked — provider data management (PDM). When provider contracting and data management are not factored into M&A integration plans, hospitals and health systems put themselves in a costly financial position…
 
 
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Health IT Outcomes is the original producer of this publication.
 
 

Doctors Without Dashboards

As seen in Exago: Written by Nicole Hitner Things change slowly in the healthcare industry, but according to Newport Credentialing VP Technology David Meier, they are changing—and for the better. Before the Affordable Healthcare Act (ACA) became law in 2010, patients, care provider groups, and insurance companies were in a three-way tug of war over… Read More

As seen in Exago: Written by Nicole Hitner

Things change slowly in the healthcare industry, but according to Newport Credentialing VP Technology David Meier, they are changing—and for the better.

Before the Affordable Healthcare Act (ACA) became law in 2010, patients, care provider groups, and insurance companies were in a three-way tug of war over finances, each party trying to get the highest return on its investment. Although the country’s quest for an optimized healthcare system continues, Meier says the tone of the conversation has moved away from competition and toward patient-centered systems such as value-based care, a more holistic alternative to fee-for-service payment models.

“There has been a major shift in the industry as a whole,” says Meier. “Before, these three groups had their own agendas and didn’t really work well together. Now, provider organizations are working to align with patients’ needs in order to keep them healthy and happy.”

This paradigm shift has had a major impact on healthcare information systems. Now, more than ever, federal regulators are enforcing data integrity standards and holding providers and insurers accountable for their records, putting companies like Newport Credentialing at the center of the action.

Newport Credentialing Solutions produces CARE, a cloud-based credentialing and provider enrollment application complete with workflows, analytics, and business intelligence. Medical groups use CARE to manage their relationships with insurers like MVP and UnitedHealth. Because the providers, or doctors, in each group must enroll with each insurer separately, the recordkeeping is extensive. Not only that, but each insurer has its own requirements for when and how often providers need to update their information, as governmental penalties for inaccuracy are passed down through the insurer to the doctors themselves.

“It’s really become more and more important that the data that we’re providing to the health insurance plans is accurate,” says Meier. “And this is where business intelligence really fits into the whole thing.”

According to Meier, modern solutions like CARE find themselves thrust into an ecosystem of disjointed technologies. Although provider groups are continuing to consolidate into larger medical groups, their backend processes and programs are failing to keep pace. As a result, providers often have no way to visualize or even query their data themselves.

In these conditions, even running simple reports is an ordeal. “Let’s say a medical group wants to see all their providers and the locations where those providers are seeing patients,” Meier offers by way of example. “Usually what happens is they have to put in a request to IT, IT has to go into an approval process that then gets slated for work, and then it takes two or three weeks for them to start working on the order. Maybe it’s eight hours worth of effort. The group needs something tomorrow, but they’re not going to get it for a month and a half. And that’s not exaggerating.”

When Newport comes on the scene, its business intelligence capabilities change all this for the client organization. Where before providers were relying on spreadsheets and black boxes, now they are able to access, visualize, and report on their data. Some even elect to use CARE’s ad hoc reporting tool to build custom reports on the fly.

As exciting as this newfound freedom is for provider groups, Meier sees BI’s impact on data management as even more significant. CARE connects to a variety of platforms including billing, HR, privileging, and central verification office systems. In many cases, these systems do not interface with each other, and their manually-entered data is rife with inconsistencies. As the reporting hub and common link between these disjointed systems, CARE often becomes the “source of truth” for provider groups, writing cleansed data to the other systems in the network.

“Although provider data management hasn’t historically been a central tenet of provider enrollment, we realized early on that it needed to be,” Meier explains. “Organizations need to centralize this data somewhere. It can’t be in a hundred different systems throughout the organization, and you can’t filter on a location if you have fifty different ways of spelling it.” BI by its very nature is compelling healthcare organizations to clean up their data practices.

But BI is also helping Newport speed up some of the bureaucratic processes that have been holding healthcare back in the first place. With hard data their fingertips, CARE agents are able to tell medical groups how long it takes them to, for example, complete a step of the enrollment process and flag possible inefficiencies. “It was taking around 45 days for one of our clients to get information back to us,” relates Meier. “We showed them this because we have the data and, in doing so, we cut that down to about 12 days.”

For Meier and the rest of the Newport team, these kinds of victories are ultimately about providing better care. If healthcare 1.0 was about profit, then healthcare 2.0 is, as Meier puts it, about “prioritizing patient health.”

“There are downstream effects for everybody,” he says. “For us, it’s managing data and making sure that provider data is as accurate as possible.”

Exago is the original producer of this publication.

RCM Tip of the Day: Include Provider Data Management in M&A Integration Plans

As seen in Becker’s Hospital CFO Report: Written by Kelly Gooch Hospitals involved in mergers and acquisitions shouldn’t forget to include provider data management to ensure claims payment, according to Scott Friesen, CEO of Newport Credentialing Solutions. “When a big acquisition or merger occurs, plans must be put into place to accelerate the provider onboarding/integration… Read More

As seen in Becker’s Hospital CFO Report: Written by Kelly Gooch

Hospitals involved in mergers and acquisitions shouldn’t forget to include provider data management to ensure claims payment, according to Scott Friesen, CEO of Newport Credentialing Solutions.

“When a big acquisition or merger occurs, plans must be put into place to accelerate the provider onboarding/integration process. Tax identification numbers, lockbox services, and provider data must be integrated along with the ability to link providers from ‘hospital A’ to contracts with the insurance companies at ‘hospital B,” Mr. Friesen shared with Becker’s Hospital Review. “Strategic decisions must be made on how to best manage provider data.

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Becker’s Hospital CFO Report is the original producer of this publication.

How Silos Restrict Key Information Sharing Within Hospitals

As seen in Health Data Management: Written by Scott Friesen The healthcare industry is undergoing a massive change as it transitions toward a connected network of clinical and administrative services, with the goal of improving patient quality and clinical outcomes. However, as demonstrated through electronic health record systems utilization, an interconnected network can be a… Read More

As seen in Health Data Management: Written by Scott Friesen

The healthcare industry is undergoing a massive change as it transitions toward a connected network of clinical and administrative services, with the goal of improving patient quality and clinical outcomes. However, as demonstrated through electronic health record systems utilization, an interconnected network can be a complex endeavor.

The rush to deploy EHR systems was driven largely by the Centers for Medicare and Medicaid’s Meaningful Use federal incentive program. Huge financial incentives helped speed the transition from paper to digital records. While great strides have been made in this transition, a new light has been cast on EHRs and the significant interoperability challenges that continue to exist.

Technology is rapidly advancing, and vendors have learned a lot from EHR deployments. Arguably, the biggest lesson is to address the continued need to easily share data between disparate systems. After all, no matter how much data is captured within a system, its value is greatly diminished when it can’t be shared with other systems, groups and organizations. When left in their separate data silos, resources, outcomes, revenue and other areas are negatively impacted.
 
 
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Health Data Management is the original producer of this publication.
 
 

Newport Credentialing Solutions Ranks No. 1 Among Credentialing and Privileging Firms in Black Book Survey

Newport Credentialing Solutions, a division of TractManager, Inc., is the top-ranked provider of credentialing and privileging solutions in a second-quarter 2018 outsourcing user survey conducted by Black Book Market Research, an independent market research company. Black Book reports that more than 4,500 executives, hospital board members, and senior managers from 709 hospitals took part in… Read More

Newport Credentialing Solutions, a division of TractManager, Inc., is the top-ranked provider of credentialing and privileging solutions in a second-quarter 2018 outsourcing user survey conducted by Black Book Market Research, an independent market research company. Black Book reports that more than 4,500 executives, hospital board members, and senior managers from 709 hospitals took part in the survey, which rated vendors from 16 categories of outsourced services.

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RCM Tip of the Day: Curtail Tax ID Numbers

As seen in Becker’s Hospital CFO Report: Written by Kelly Gooch Hospitals and health systems should limit the number of tax ID numbers per provider to streamline claims processing delays and prevent lost revenue, says Patrick Doyle, senior vice president at Newport Credentialing Solutions. Mr. Doyle shared the following tip with Becker’s Hospital Review. “When… Read More

As seen in Becker’s Hospital CFO Report: Written by Kelly Gooch

Hospitals and health systems should limit the number of tax ID numbers per provider to streamline claims processing delays and prevent lost revenue, says Patrick Doyle, senior vice president at Newport Credentialing Solutions.

Mr. Doyle shared the following tip with Becker’s Hospital Review.

“When not managed properly it’s easy to lose control over the number of tax IDs your providers have; this is especially true for large hospitals with hundreds of providers. A good rule of thumb is no more than three tax IDs per provider. While downsizing these numbers is a cumbersome task that requires diligent follow-through, an outsourced partner with proven knowledge and resources can make a world of difference in regaining control.”
 
 
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Becker’s Hospital CFO Report is the original producer of this publication.
 
 

7 Recent RCM Tips

As seen in Becker’s Hospital CFO Report: Written by Kelly Gooch Here are seven revenue cycle management tips from industry experts, published by Becker’s Hospital Review since Feb. 22. Patrick Doyle, senior vice president at Newport Credentialing Solutions Tara Dwyer, vice president of audit operations at Xsolis Mark Hendricks, vice president of product management at… Read More

As seen in Becker’s Hospital CFO Report: Written by Kelly Gooch

Here are seven revenue cycle management tips from industry experts, published by Becker’s Hospital Review since Feb. 22.

Patrick Doyle, senior vice president at Newport Credentialing Solutions
Tara Dwyer, vice president of audit operations at Xsolis
Mark Hendricks, vice president of product management at nThrive
Eric Ritchie, COO of Grantsville, W.Va.-based Minnie Hamilton Health System
Kevin Lathrop, president of TriZetto Provider Solutions, a Cognizant company
Eric Nilsson, chief technology officer of SSI Group
Kenneth Miller, senior revenue cycle management specialist at Cantata Health

View all of the tips here!

Becker’s Hospital CFO Report is the original producer of this publication.

RCM Tip of the Day: Automate CAQH Re-attestation Processes

As seen in Becker’s Hospital CFO Report: Written by Kelly Gooch Technology advances can help hospitals and health systems expedite the time they spend managing Council for Affordable Quality Healthcare re-attestation to credential providers, says Patrick Doyle, senior vice president at Newport Credentialing Solutions. Mr. Doyle shared this tip with Becker’s Hospital Review. “To maintain… Read More

As seen in Becker’s Hospital CFO Report: Written by Kelly Gooch

Technology advances can help hospitals and health systems expedite the time they spend managing Council for Affordable Quality Healthcare re-attestation to credential providers, says Patrick Doyle, senior vice president at Newport Credentialing Solutions.

Mr. Doyle shared this tip with Becker’s Hospital Review.

“To maintain provider enrollment CAQH re-attestation is required every 120 days for each provider. Advances in technology are enabling this process to be greatly streamlined. The ability to set automated reminders and alerts of pending re-attestation dates not only saves times, but eliminates the possibility of providers falling through the cracks.”
 
 
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Becker’s Hospital CFO Report is the original producer of this publication.
 
 

Dealing with Denied Claims: The Financial Impact of Credentialing and Provider Enrollment

As seen in Group Practice Journal: Written by Patrick Doyle Your healthcare revenue cycle has many moving parts. The most successful practices routinely evaluate processes to identify cost-reducing and profit-increasing potential. A frequently overlooked component during evaluation is credentialing as it relates to provider enrollment. The reason for this lapse is many group practices lack… Read More

As seen in Group Practice Journal: Written by Patrick Doyle

Your healthcare revenue cycle has many moving parts. The most successful practices routinely evaluate processes to identify cost-reducing and profit-increasing potential. A frequently overlooked component during evaluation is credentialing as it relates to provider enrollment. The reason for this lapse is many group practices lack detailed insight into provider data and are therefore unable to measure the impact it has on their overall revenue cycle. As a result, groups lose revenue when they are unable to collect all that is owed.

Denied claims caused by credentialing-related issues have an obvious impact on a provider’s reimbursements. The inability to collect on these denied claims nearly always leads a provider’s practice to write off the claim and stop pursuit of reimbursement. Given just how many patient encounters a provider has in a given day, week, or month, the financial impact of having to write off an encounter can be significant. Yet, lacking awareness that a provider enrollment problem exists, it is impossible to know
the financial impact it has on a revenue cycle. And, it is impossible to fix a problem if you are unaware it exists.

To read the full article, please go to Group Practice Journal!

How Provider Enrollment Impacts Patient Satisfaction

As seen in Becker’s Hospital Review: Written by Scott Friesen, CEO of Newport Credentialing Solutions The rise of healthcare consumerism has significantly elevated the importance of patient satisfaction. As deductibles continue to climb, patients have become increasingly more vocal in their care and choice of provider. If they aren’t happy, they will take their business… Read More

As seen in Becker’s Hospital Review: Written by Scott Friesen, CEO of Newport Credentialing Solutions

The rise of healthcare consumerism has significantly elevated the importance of patient satisfaction.

As deductibles continue to climb, patients have become increasingly more vocal in their care and choice of provider. If they aren’t happy, they will take their business elsewhere, often leaving a negative online review in the process.

As hospitals and health systems continue to look for new ways to improve patient satisfaction, one area that is typically overlooked is provider enrollment. While commonly viewed as a back-office function, provider enrollment can have a significant impact on patient satisfaction and the overall hospital experience. If a provider is not enrolled with their respective provider, the patient…
 
 
As seen in Becker's Hospital ReviewClick here to read the full article…
 
Becker’s Hospital Review is the original producer of this publication.
 
 

Newport Credentialing Recognized by CIOReview Magazine as 50 Most Promising Healthcare Solution Providers – 2018

An annual listing of the best vendors who provide exceptional solutions to enhance the entire healthcare experience for both providers and patients. As the healthcare industry continues to evolve, an increasing number of healthcare organizations are moving from client-server environments to cloud-based environments. Yet a significant portion of the industry continues to remain tethered to… Read More

An annual listing of the best vendors who provide exceptional solutions to enhance the entire healthcare experience for both providers and patients.

As the healthcare industry continues to evolve, an increasing number of healthcare organizations are moving from client-server environments to cloud-based environments. Yet a significant portion of the industry continues to remain tethered to client-server environments which create unnecessary data silos and cause significant data integrity issues. On the provider data management front, there are limited cloud platforms that offer a single database and multi-channel architecture capable of running broad analytics across a huge spectrum of data. Data consolidation is also problem. Even if several credentialing and enrollment tools are used, they only cater to one data source at a time. Newport Credentialing Solutions was created to break down these credentialing data silos and streamline the flow of data across multiple data systems.

Newport is transforming the credentialing technology space with its cloud-based provider credentialing and enrollment software by enhancing the provider data management lifecycle and breaking down data barriers between hospitals, providers, and payers. Newport also helps with data cleansing which provides security to patients while increasing revenue generation for providers.

“At Newport, we want to break the silos, reduce cost, and increase revenue for clients while enhancing clinical outcomes and patient satisfaction,” states Scott Friesen, CEO, Newport. Newport’s cloud-based enrollment credential software features 20 different modules which help clients manage the credentialing lifecycle from data entry to full enrollment and connects gross financial charges to all in-process enrollment applications. Newport also provides cloud-enabled support services with staff to assist healthcare systems in managing credentialing process. Clients using Newport’s cloud-based credentialing and provider enrollment enterprise-wide platform have the option to outsource the credentialing and provider enrollment process to Newport or license Newport’s technology to conduct the credentialing and enrollment process themselves.

To improve data integrity, Newport provides their clients with portals which help them refer back to clients in the event information provided is inaccurate. Newport embeds their technology into the daily workflow of hospitals, health systems, and medical group clients for easy data entry, lookup and validation. Friesen explains that the company’s cloud-enabled CARE suite of products inculcates the concept of revenue and credentialing into their client’s daily processes through the use of a singular platform. The CAREportal tool, an online information exchange solution, allows clients to request any change, add, or delete regarding their provider’s profile directly into the platform’s multi-tenant platform. Newport uses third-party encryption tools to ensure data security and customizes their technology to mimic the organizational structure of clients to best serve their interest. Additionally, Newport spends an extensive amount of time validating data with insurance companies to reduce the data cleansing workload of its clients.

Friesen shares a case wherein Cooper University Healthcare was losing millions of dollars on enrollment denials. With Newport’s bundled provider enrollment software and services, the healthcare system was able to reduce 90 percent of denials within 18-24 months of the product’s implementation. Newport launched their technology, on-boarded the client, and conducted a PAR/non-PAR analysis to validate their baseline for enrollment. Newport’s reporting and analytics tool also helped the client understand challenges related to real-time information gathering and enabled gross charges to be linked to in-progress applications for tracking performance on a day-to-day basis. As a result, the client was able to collect $1.5 million incremental revenue during the first year of implementation.

Healthcare reforms have created numerous opportunities to improve provider data management. Newport has built a robust roadmap to take advantage of these opportunities and to manage data processing in a far more cost-effective and efficient manner. “As one of the largest providers of enrollment software and services we manage about 45,000 providers. But of the 1.2 million enrollable providers in the U.S., it is only a drop in the bucket,” states Friesen. Therefore, for 2018, Newport’s main focus is on expanding its cloud-based provider data management and credentialing footprint to create a more accurate and streamlined provider data management landscape.

To learn more, please click here.

TractManager Acquires Newport Credentialing Solutions

CHATTANOOGA, TN, DALLAS, TX. Feb. 20, 2018/Business Wire. TractManager, Inc., the healthcare industry’s largest supplier of strategic sourcing and contract lifecycle management (CLM) solutions, has acquired Newport Credentialing Solutions, the leader in cloud-based credentialing and provider enrollment software and services. “Newport Credentialing Solutions is an exciting addition to our corporate family,” said Trace Devanny, chief… Read More

CHATTANOOGA, TN, DALLAS, TX. Feb. 20, 2018/Business Wire. TractManager, Inc., the healthcare industry’s largest supplier of strategic sourcing and contract lifecycle management (CLM) solutions, has acquired Newport Credentialing Solutions, the leader in cloud-based credentialing and provider enrollment software and services.

“Newport Credentialing Solutions is an exciting addition to our corporate family,” said Trace Devanny, chief executive officer of TractManager. “Newport’s solutions streamline the physician enrollment process and enable the proactive management of the complex credentialing lifecycle. In an increasingly challenging financial environment, Newport’s ability to optimize the provider revenue cycle through enrollment automation is a much-needed solution that immediately impacts the bottom line of physician practices, hospitals, and health systems.”

Since its founding in 2009, Newport has focused on helping providers take control of their credentialing lifecycle, thereby generating more income in less time. Newport views credentialing as an integral part of the revenue cycle as providers who are not enrolled correctly will not be paid correctly. Newport’s clients include some of the largest academic medical centers, health systems, and multi-specialty group practices in the United States.

“We’re excited to join forces with TractManager,” said Scott Friesen, Founder and CEO of Newport Credentialing Solutions. “Enrolling a provider and then maintaining that provider’s enrollment status is challenging. We developed the industry’s first cloud-based workflow, analytics, and business intelligence credentialing platform to overcome that challenge, and I can’t think of a better home for us to continue to evolve our solutions and accelerate our growth and market penetration than TractManager.”

Newport’s customized professional and support services wrap around the proprietary software and maximize the value of the credentialing platform. Donald A. Deieso, Ph.D., Chairman of TractManager’s Board of Directors, and Operating Partner for Arsenal Capital Partners, noted that, “With the addition of Newport to the TractManager family, we continue to advance our mission of building an exceptional organization that can truly transform our healthcare system for the benefit of all.”

As an introduction to TractManager, we are holding an informational webinar, this Thursday, February 22nd at 10:00am EST. Please register here.

 

About Newport Credentialing Solutions

Newport Credentialing Solutions is the nation’s premier provider of cloud-based, workflow and analytics software, and cloud-enabled services dedicated to the credentialing lifecycle. Newport’s clients include some of the largest academic medical centers, health systems, and multi-specialty group practices in the United States.
 

About TractManager

TractManager’s healthcare-specific application suite serves three out of five U.S. hospitals. Serving the healthcare industry with integrity for more than 30 years, TractManager is the first-mover in strategic sourcing and enterprise contract lifecycle management. Our advisory services wrap around each solution component, optimizing purchasing and service category management, while supporting best-practice contracting processes. The company’s strategic sourcing division, MD Buyline, includes Hayes, the industry leader in providing clinically focused, evidence-based research and analysis to health plans, insurers, hospitals, healthcare systems, ACOs and government agencies, and MedApproved, a new product approval workflow solution. The MediTract division supports hospitals and healthcare facilities with an enterprise contract lifecycle solution. Together, we are dedicated to helping our clients reduce their capital and non-labor costs, and conform their contract, policy, and procedure management to meet regulatory requirements.
 

About Arsenal Capital Partners

Formed in 2000, Arsenal Capital Partners is a leading New York-based private equity firm that invests in specialty industrial and healthcare companies. Arsenal targets businesses with the potential for further value creation by working closely with management to accelerate growth and leverage the firm’s operational improvement capabilities. Since inception, Arsenal has raised institutional equity investment funds totaling $3 billion.
 

The Emily Program, an Affiliate of the University of Minnesota Medical School, Selects Newport Credentialing Solutions to Manage Provider Enrollment

As seen in Enhanced Online News LYNBROOK, N.Y.–(EON: Enhanced Online News)–Newport Credentialing Solutions, the industry’s leading provider of healthcare credentialing and payer enrollment solutions, today announced it has been selected by The Emily Program to oversee the payer enrollment process for the organization’s multi-state network of affiliated providers. One of the premier treatment centers for… Read More

As seen in Enhanced Online News

LYNBROOK, N.Y.–(EON: Enhanced Online News)–Newport Credentialing Solutions, the industry’s leading provider of healthcare credentialing and payer enrollment solutions, today announced it has been selected by The Emily Program to oversee the payer enrollment process for the organization’s multi-state network of affiliated providers. One of the premier treatment centers for eating disorders in the United States, The Emily Program has more than 500 employees across four States with the goal to provide its services nationwide.

“Newport’s knowledge of the provider enrollment process and established relationships with payer groups is a huge asset to our organization,” said Nam Hoang Lew, Chief Financial Officer for The Emily Program. “The Emily Program works with a larger number of payers. Overseeing these relationships and ensuring our multi-state network of providers are enrolled properly was just too much to manage in-house. Newport provides the expertise and best practice processes to ensure enrollments are managed efficiently and accurately so we get paid.”

Newport offers a unique cloud-based credentialing and provider enrollment platform and unmatched provider enrollment domain expertise. Newport’s staff is highly trained and understands what is required to manage the credentialing life cycle successfully. In addition to managing time-consuming processes such as verifications and proactive monitoring of outstanding applications, Newport works closely with insurance payers to ensure enrollment processes move along as quickly as possible for improved revenue.

About The Emily Program
The Emily Program is a University of Minnesota Medical School Affiliate. Founded in 1993, The Emily Program helps people of all ages and genders who struggle with eating disorders, including anorexia nervosa, bulimia nervosa, binge eating disorder, compulsive overeating, and related mental health and body image issues throughout Minnesota, Ohio, Pennsylvania and Washington.

Click here to see the full press release…
 
 

2018 January Newsletter: In Case You Missed It

Newport Credentialing: In Case You Missed It For Newport, the past two months have been very busy and exciting preparing for 2018! Below are a few highlights of our successes we wanted to make sure you didn’t miss.   Newport Credentialing Unveils New Website Design We have been hard at work enhancing our website to… Read More

Newport Credentialing: In Case You Missed It

For Newport, the past two months have been very busy and exciting preparing for 2018! Below are a few highlights of our successes we wanted to make sure you didn’t miss.
 

Newport Credentialing Unveils New Website Design

We have been hard at work enhancing our website to give users an even better experience. We encourage you to stop by and take a look for yourself. Visit the website or read the full press release.
Read the press release here.
 
 

Hosted a Webinar on how to “Exceed Your 2018 Revenue Goals”

In December, Newport hosted a 30-minute webinar with tips and trick on how to Exceed Your 2018 Revenue Goals by improving the credentialing & enrollment process.
REQUEST ON-DEMAND WEBINAR.
 
 

Follow us on Facebook, Twitter, and LinkedIn!

Join the Newport community on social media in order to stay on top of all news related to credentialing, enrollment, and provider data management. We would love to connect with you!
Facebook | Twitter | LinkedIn
 
 

Come Find Newport at AMGA!

This March we will be exhibiting at the Annual AMGA Conference in Phoenix, AZ. Be sure to stop by our booth or schedule a meeting with us in advance so we don’t miss each other! The conference will be held from March 7-10th.
Schedule a meeting.
 
 

Newport Celebrated the Holidays in Style

The Newport Credentialing staff celebrated the holiday season in style with an Ugly Sweater Party. Thank you to all of our staff for a wonderful turnout and for all of your hard work and dedication throughout the year!

Intermountain Healthcare Partners with Newport Credentialing Solutions to Provide Cloud-Based Provider Enrollment Software and Services

As seen in Business Wire LYNBROOK, N.Y.–(BUSINESS WIRE)–Newport Credentialing Solutions, the industry’s leading provider of cloud-based credentialing and provider enrollment software and services, today announced that it has partnered with Intermountain Healthcare. Newport was selected to manage the provider enrollment process for Intermountain’s extensive network of more than 1,400 employed primary care and secondary care… Read More

As seen in Business Wire

LYNBROOK, N.Y.–(BUSINESS WIRE)–Newport Credentialing Solutions, the industry’s leading provider of cloud-based credentialing and provider enrollment software and services, today announced that it has partnered with Intermountain Healthcare. Newport was selected to manage the provider enrollment process for Intermountain’s extensive network of more than 1,400 employed primary care and secondary care physicians. Intermountain is a Utah-based, not-for-profit system with 22 hospitals and 185 clinics which set the standard for high quality healthcare throughout the Mid-West.

“A well-managed provider enrollment program has a direct and positive impact on patient and physician satisfaction. Additionally, with the right cloud-based tools and expertise, focusing on provider enrollment can significantly enhance revenue,” said Scott Friesen, CEO, Newport Credentialing Solutions. “Intermountain’s relentless focus on improving patient outcomes and the physician experience is key to their success. We are honored to be a part of Intermountain’s mission and look forward to a long, successful partnership.”

Newport offers industry defining cloud-based credentialing and provider enrollment software and services. Newport’s powerful blend of software and highly trained staff provide clients with a unique offering that improves the management of their credentialing life cycle. Newport ’s focus on cloud-based bundled software and services enables clients to manage both the operational and financial aspects of their credentialing life cycle. The result is improve patient outcomes, physician experience, and revenue.

To learn more about Newport’s credentialing and provider enrollment software and services, please visit www.newportcredentialing.com.

Click here to see the full press release…
 
 

Newport Credentialing Solutions Partners With Northeast Medical Group, a Member of Yale New Haven Health System, to Improve Provider Enrollment Processes and Increase Revenue

As seen in Business Wire LYNBROOK, N.Y.–(BUSINESS WIRE)–Newport Credentialing Solutions, the industry’s leading provider of cloud-based credentialing and provider enrollment software and services, today announced it has been selected by Northeast Medical Group (NEMG) to manage the organization’s provider enrollment processes. Newport will manage provider enrollment for NEMG’s more than 120 locations and nearly 1,200… Read More

As seen in Business Wire

LYNBROOK, N.Y.–(BUSINESS WIRE)–Newport Credentialing Solutions, the industry’s leading provider of cloud-based credentialing and provider enrollment software and services, today announced it has been selected by Northeast Medical Group (NEMG) to manage the organization’s provider enrollment processes. Newport will manage provider enrollment for NEMG’s more than 120 locations and nearly 1,200 physicians and medical professionals. Newport was selected for its comprehensive provider enrollment services and cloud-based software tools that improve enrollment processing and revenue opportunities.

“Newport’s ability to blend software with a highly trained staff provides clients with a unique offering that improves the management of their credentialing life cycle,” said Scott Friesen, CEO, Newport Credentialing Solutions. “Our dual focus on cloud-based bundled software and services enables clients to manage both the operational and financial aspects of their credentialing life cycle. The result is improved patient outcomes, physician experience, and revenue. “

To learn more about Newport’s credentialing and provider enrollment software and services, please visit www.newportcredentialing.com.

Click here to see the full press release…
 
 

Newport Credentialing Solutions Unveils New Website Design

As seen in Business Wire LYNBROOK, N.Y.–(BUSINESS WIRE)–As the leading national provider of cloud-based credentialing and provider enrollment software and services, Newport Credentialing Solutions is pleased to announce the release of their newly revamped website. The site’s new functionality is aligned with the company’s belief that clinical, IT, and operational integration is forcing provider organizations… Read More

As seen in Business Wire

LYNBROOK, N.Y.–(BUSINESS WIRE)–As the leading national provider of cloud-based credentialing and provider enrollment software and services, Newport Credentialing Solutions is pleased to announce the release of their newly revamped website. The site’s new functionality is aligned with the company’s belief that clinical, IT, and operational integration is forcing provider organizations to re-think their existing ways of doing business. User navigation is clear and concise for quick and easy access to company information and overall client benefits.

Newport’s newly renovated website is minimal and sleek with full screen picture displays above the fold. The Products and Services tab reveals all elements of the credentialing process that Newport provides including: expirables management, denials management, and enrollment. To stay relevant with today’s digital landscape, the navigation bar is updated to include social media icons for Facebook, Twitter, LinkedIn, and YouTube, which will be updated regularly to consistently provide valuable information.

Leading the way in innovation, results, and the physician credentialing and provider enrollment marketplace, Newport continuously strives to set the standard for excellence. Newport provides cloud-based credentialing services which entails the process of reviewing and verifying the qualifications of a health care provider. Academic medical centers, revenue cycle management companies, and hospital employed physicians are among the industries that Newport services.

Click here to see the full press release…
 
 

160+ Healthcare Revenue Cycle Companies to Know

As seen in Becker’s Hospital Review: Written by Laura Dyrda
Hospitals, health systems, physician practices and healthcare organizations are experiencing increasingly complex revenue cycles, working with government and private payers as well as patients to collect. Here are more than 160 companies with revenue cycle management solutions in the healthcare space… Read More

As seen in Becker’s Hospital Review: Written by Laura Dyrda

Hospitals, health systems, physician practices and healthcare organizations are experiencing increasingly complex revenue cycles, working with government and private payers as well as patients to collect. Here are more than 160 companies with revenue cycle management solutions in the healthcare space.
 
 
As seen in Becker's Hospital ReviewClick here to read the full article…
 
Becker’s Hospital Review is the original producer of this publication.
 
 

2017 September Newsletter: In Case You Missed It

Newport Credentialing: In Case You Missed It For Newport, the past two months have been very busy and exciting preparing for fall! We were featured in several articles, partnered with new healthcare organizations, continued our webinar series, and much more. Below are a few additional highlights of our successes.   Featured in Becker’s Hospital Review:… Read More

Newport Credentialing: In Case You Missed It

For Newport, the past two months have been very busy and exciting preparing for fall! We were featured in several articles, partnered with new healthcare organizations, continued our webinar series, and much more. Below are a few additional highlights of our successes.
 

Featured in Becker’s Hospital Review: Key Considerations When Selecting a Credentialing Company

Outsourcing your credentialing and enrollment process is a much easier and cost-effective option compared to managing the process in-house. In this article, find out what to consider when selecting a partner.
Read the full article here.
 
 

Featured in Becker’s Hospital CFO Report: RCM Tip of the Day

Are you underestimating the importance of participating and nonparticipating analysis? Click here to read Becker’s RCM Tip of The Day featuring Newport Credentialing!
Read the full article here.
 
 

Lina Monterosso Shares her Experience Working with Newport

Lina Monterosso, former VP Revenue Management at FOX Rehabilitation, has first-hand experience partnering with Newport Credentialing. See what she has to say about her experience.
Read the full article here.
 
 

Hosted a Webinar for Federally Qualified Health Centers


In August, Newport hosted a 30-minute webinar for FQHCs helping educate them on how to improve their provider enrollment process with just five actionable tips.
To receive a copy of the presentation, please send us an email.
 
 

Join our Growing Team!

Newport is hiring Credentialing Specialists, Account Supervisors, and Data Entry Specialists. To apply, please submit a copy of your resume to careers@newport.theadleaf.com. For more information about the jobs available, visit our Careers page.

RCM Tip of The Day: Don’t Underestimate the Importance of Participating and Nonparticipating Analysis

As seen in Becker’s Hospital CFO: Written by Kelly Gooch As hospitals seek to maximize revenue, it is crucial they conduct a participating and nonparticipating analysis to ensure their provider enrollment data corresponds to the enrollment data that the payers have recorded, according to Patrick Doyle, senior vice president of Lynbrook, N.Y.-based Newport Credentialing Solutions.… Read More

As seen in Becker’s Hospital CFO: Written by Kelly Gooch

As hospitals seek to maximize revenue, it is crucial they conduct a participating and nonparticipating analysis to ensure their provider enrollment data corresponds to the enrollment data that the payers have recorded, according to Patrick Doyle, senior vice president of Lynbrook, N.Y.-based Newport Credentialing Solutions.

Mr. Doyle shared the following tip…

Click here to read the full article…

Becker’s Hospital CFO is the original producer of this publication.

For Organizational Guidance – A Compass or a GPS?

As seen in Becker’s Health IT & CIO Review: Written by Scott Friesen, CEO, and Patrick Doyle, Senior Vice President, Newport Credentialing Solutions Managing the revenue cycle for healthcare organizations is a complex endeavor. To navigate the many variables associated with successful reimbursement, revenue cycle management is becoming increasingly reliant on data analytics. Understanding which… Read More

As seen in Becker’s Health IT & CIO Review: Written by Scott Friesen, CEO, and Patrick Doyle, Senior Vice President, Newport Credentialing Solutions

Managing the revenue cycle for healthcare organizations is a complex endeavor.

To navigate the many variables associated with successful reimbursement, revenue cycle management is becoming increasingly reliant on data analytics. Understanding which data points to focus on is key to obtaining operational and financial excellence. Just like using a GPS navigation tool is more precise and easier to use than a hand-held compass, managing the complex revenue cycle requires the same kind of advanced tool-set that can normalize and present data in a precise and easy to use manner.

While there are many moving parts in the healthcare revenue cycle, a frequently overlooked component is…
 
 
As seen in Becker's Health IT & ReviewClick here to read the full article.

Becker’s Health IT & CIO Review is the original producer of this publication.
 
 
 

RCM Tip of The Day: View Provider Enrollment as a Critical Part of Your Revenue Cycle

As seen in Becker’s Hospital CFO: Written by Kelly Gooch Provider enrollment with payers is crucial, as it ensures proper reimbursement for services rendered, according to Patrick Doyle, senior vice president of Newport Credentialing Solutions. Mr. Doyle shared the following tip with Becker’s Hospital Review: “To ensure every collectible dollar is received, provider enrollment must… Read More

As seen in Becker’s Hospital CFO: Written by Kelly Gooch

Provider enrollment with payers is crucial, as it ensures proper reimbursement for services rendered, according to Patrick Doyle, senior vice president of Newport Credentialing Solutions.

Mr. Doyle shared the following tip with Becker’s Hospital Review: “To ensure every collectible dollar is received, provider enrollment must become an integral part of the revenue cycle process. Best practices should include…

Click here to read the full article…

Becker’s Hospital CFO is the original producer of this publication.

DOWNLOAD: The Invisible Impact of Credentialing

Are you aware of the impact credentialing can have on your healthcare facility? In Newport’s latest eBook, The Invisible Impact of Credentialing, we help bring awareness to the many invisible “touches” credentialing has on technology, patient satisfaction, revenue enhancement, and much more. The eBook is packed with actionable items you can start implementing today to… Read More

Are you aware of the impact credentialing can have on your healthcare facility?

In Newport’s latest eBook, The Invisible Impact of Credentialing, we help bring awareness to the many invisible “touches” credentialing has on technology, patient satisfaction, revenue enhancement, and much more. The eBook is packed with actionable items you can start implementing today to make a positive change at your facility.
 
Click Here to Download Now!

 
 
 
 

The Invisible Impact of Credentialing: Tip 4

Tip 4: Consider Overlooked Costs. Denied claims caused by credentialing-related issues have an obvious impact on a provider’s reimbursements. With limited exception, the inability to collect on these denied claims often leads a provider’s practice to write off the claim and stop the pursuit of reimbursement. Given just how many patient encounters a provider has… Read More

Tip 4: Consider Overlooked Costs.

Denied claims caused by credentialing-related issues have an obvious impact on a provider’s reimbursements. With limited exception, the inability to collect on these denied claims often leads a provider’s practice to write off the claim and stop the pursuit of reimbursement. Given just how many patient encounters a provider has in a given day, week or month, the financial impact of having to write off an encounter can be significant.

Practices go to great lengths to ensure a patient’s insurance is verified well in advance of an encounter. If he or she isn’t covered, the procedure isn’t done. While the financial implications of having to write off an encounter are well known, it is surprising that many practices are overlooking another process equally as important as insurance verification – credentialing and provider enrollment verification. To change the way credentialing and provider enrollment are viewed, quantifying lost dollars is essential… [click here to download].

Looking for additional tips?

To download Tip 1, please click here.
To download Tip 2, please click here.
To download Tip 3, please click here.

 

The Invisible Impact of Credentialing: Tip 3

Tip 3: Prevent Surprise Medical Billing.   In 2016 a number of states across the US enacted laws aimed at shielding patients from surprise medical bills.These laws have been enacted to protect insured patients from surprise medical bills when services are performed by an out-of-network provider at an in-network hospital or outpatient services location covered… Read More

Tip 3: Prevent Surprise Medical Billing.

 
In 2016 a number of states across the US enacted laws aimed at shielding patients from surprise medical bills.These laws have been enacted to protect insured patients from surprise medical bills when services are performed by an out-of-network provider at an in-network hospital or outpatient services location covered in their health insurance plan or when a participating provider refers an insured patient to a non-participating provider. Surprise medical bills are most often associated with emergency care, when a patient has little to no say in their care-plan. Items may include ambulances, anesthesiologists, radiology, etc. Surprise medical billing can also occur when a patient receives scheduled care from an in-network provider.

When healthcare providers are not enrolled properly with one or more health plans in which they participate, or if they have inadvertently allowed their enrollment status to lapse, billing disruption is inevitable… [click here to download].
 
 

Looking for additional tips?

To download Tip 1, please click here.
To download Tip 2, please click here.

 
 

Upfront Provider Enrollment Verification Can Greatly Minimize Claim Denials

As seen in Becker’s Hospital CFO: Written by Patrick Doyle, Vice President, Newport Credentialing Solutions Insurance verification can have a significant impact on a hospital’s bottom line. This is why hospitals go to great lengths to ensure a patient’s insurance is verified well in advance of an encounter to avoid claim rejection. If the patient… Read More

As seen in Becker’s Hospital CFO: Written by Patrick Doyle, Vice President, Newport Credentialing Solutions

Insurance verification can have a significant impact on a hospital’s bottom line. This is why hospitals go to great lengths to ensure a patient’s insurance is verified well in advance of an encounter to avoid claim rejection. If the patient is not covered, the procedure is not scheduled.

Similar to when a patient does not have valid insurance and their claim is denied, a patient’s claim will also be denied if the provider is not properly enrolled with the patient’s insurance plan. Considering a provider can see easily 3-4 patients per hour on any given day, the financial impact of denied claims due to lack of provider enrollment eligibility checks can be significant. Yet despite the financial impact, upfront provider enrollment verification is rarely discussed or practiced within many healthcare organizations…
 
 
Click here to read the full article…
 
Becker’s Hospital CFO is the original producer of this publication.
 
 

Hidden Ways Hospitals Can Save Money

As seen in Becker’s Hospital Review: Written by Scott Friesen, CEO of Newport Credentialing Solutions 2017 is predicted to be a challenging year for health systems and hospitals around the country, according to a recent blog post by Deloitte. Increased financial pressures are expected due to changes to the payer mix, the move towards value-based… Read More

As seen in Becker’s Hospital Review: Written by Scott Friesen, CEO of Newport Credentialing Solutions

2017 is predicted to be a challenging year for health systems and hospitals around the country, according to a recent blog post by Deloitte.

Increased financial pressures are expected due to changes to the payer mix, the move towards value-based care and uncertainty over a new administration in Washington. For those who continue to operate business as usual, a sound financial future will be challenging, if not impossible, to achieve.

Traditional cost cutting measure like labor reductions and supply costs are no longer enough. Hospitals and health systems must look for new ways to reduce expenses and increase revenue. This requires…
 
 
As seen in Becker's Hospital ReviewClick here to read the full article…
 
Becker’s Hospital Review is the original producer of this publication.
 
 

The Invisible Impact of Credentialing: Tip 2

Tip 2: Make Sure All Data is Protected – Not Just PHI.   More than two decades ago, the Health Insurance Portability and Accountability Act (HIPAA) was signed into law. One of its most significant provisions was to create a standard method of protecting patient data, regardless of where it resides. In 2000 additional safeguards… Read More

Tip 2: Make Sure All Data is Protected – Not Just PHI.

 
More than two decades ago, the Health Insurance Portability and Accountability Act (HIPAA) was signed into law. One of its most significant provisions was to create a standard method of protecting patient data, regardless of where it resides. In 2000 additional safeguards were put in place and Protected Health Information (PHI) became the responsibility of everyone in the healthcare sector. As a result…

[click here to download].
 
 

Looking for additional tips?

To download Tip 1, please click here.
 
 

Why is the Healthcare Industry Lagging Behind in Cybersecurity?

As seen in NetLib Security: Written by Scott Friesen and David Meier of Newport Credentialing Solutions and Jonathan Weicher of NetLib Security Although it might seem as of late that government agencies have become the prime target for hackers, both domestic and foreign, we must not lose sight of the healthcare industry. Health care data… Read More

As seen in NetLib Security: Written by Scott Friesen and David Meier of Newport Credentialing Solutions and Jonathan Weicher of NetLib Security

Although it might seem as of late that government agencies have become the prime target for hackers, both domestic and foreign, we must not lose sight of the healthcare industry. Health care data breaches are growing exponentially, according to a report released by the Government Accountability Office. While Anthem and Banner Health are two of the most notable breaches, a steady stream of healthcare breaches have since followed. Healthcare organizations of every size, patients and providers are all at risk. How severe is the situation? According to Scott Friesen and David Meier from Newport Credentialing Solutions, with whom I had the privilege to speak, “the threat is serious as the healthcare industry is significantly behind other industry’s when it comes to the field of cybersecurity, and only recently began playing catch up. As a result, healthcare organizations, patients and providers are all left vulnerable against today’s sophisticated attackers.”

Newport is a premier provider of cloud-based software and IT enabled services dedicated to the credentialing life cycle. The company provides cloud-based workflow, analytics software and IT enabled credentialing services to some of the largest academic medical centers, health systems, and multi-specialty group practices in the United States. NetLib has been working with Newport for many years to provide comprehensive security across their systems. Using NetLib’s database encryption technology, Encryptionizer, all information stored on Newport’s cloud-based CARE platform is encrypted so that only authorized parties can access it.
 

 
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NetLib Security is the original producer of this publication.
 
 
 
 
 

Newport Credentialing Recognized by CIO Review as one of the “20 Most Promising Healthcare Solution Providers 2017”

FREMONT, CA – Newport Credentialing Solutions has been recognized as one among the elite group of companies that are featured in the Healthcare edition of CIOReview magazine. “We take pride in honoring Newport Credentialing Solutions as one of the 20 Most Promising Healthcare Solution Providers 2017 based on its expertise in providing innovative healthcare solutions… Read More

FREMONT, CA – Newport Credentialing Solutions has been recognized as one among the elite group of companies that are featured in the Healthcare edition of CIOReview magazine.

“We take pride in honoring Newport Credentialing Solutions as one of the 20 Most Promising Healthcare Solution Providers 2017 based on its expertise in providing innovative healthcare solutions and the ability to delight customers and facilitating return on investments through strategic relationships, services and programs,” said Jeevan George, Managing Editor of CIOReview “This recognition will bring more popularity to Newport Credentialing Solutions and positive attention from the several other companies.”

In order to help our clients pro-actively manage the increasingly complex credentialing life cycle, Newport offers the industry’s first cloud-based workflow, analytics, and business intelligence credentialing software platform; CARE. CARE enables our clients to “Take Control” of the operational and financial aspects of their credentialing life cycle by utilizing industry defining, cloud-based, revenue centric, and workflow tools.

Newport also offers IT enabled physician and allied health provider credentialing services including initial credentialing, re-credentialing, expirables management, and delegated credentialing management services.

To read the full article, please click here.

About Newport Credentialing Solutions

Newport Credentialing Solutions is the nation’s premier provider of cloud-based software and IT enabled services dedicated to the credentialing life cycle. Newport provides cloud-based workflow, analytics, and business intelligence credentialing software and IT enabled credentialing services to some of the largest academic medical centers, health systems, and multi-specialty group practices in the United States.

About CIOReview

Published from Fremont, California, CIOReview is a print magazine that explores and understands the plethora of ways adopted by firms to execute the smooth functioning of their businesses. A distinguished panel comprising of CEOs, CIOs, IT-VPs including CIOReview editorial board finalized the “20 Most Promising Healthcare Solution Providers 2017” and shortlisted the best vendors and consultants. For more info, visit: www.cioreview.com.

The Invisible Impact of Credentialing: Tip 1

Tip 1: Credentialing Can Disrupt Your Patient Satisfaction Outcomes.   With the advent of Accountable Care Organizations (ACOs) and population health management initiatives, healthcare organizations are increasingly implementing technology and processes to encourage patient engagement. Incumbent in these efforts is the collection of more patient satisfaction data to help yield better decision making to promote… Read More

Tip 1: Credentialing Can Disrupt Your Patient Satisfaction Outcomes.

 
With the advent of Accountable Care Organizations (ACOs) and population health management initiatives, healthcare organizations are increasingly implementing technology and processes to encourage patient engagement. Incumbent in these efforts is the collection of more patient satisfaction data to help yield better decision making to promote lower cost delivery models and better clinical outcomes throughout the communities they serve.

As providers in all healthcare delivery networks strive to enhance patient satisfaction scores, they are all too often burdened by… [click here to download].
 
 

Looking for additional tips?

Over the coming months, Newport will provide a 4 part Tips Series which focuses on the invisible impact of credentialing. Check back soon!
 
 

Revenue Enhancement for FQHCs

Patrick Doyle, Senior Vice President, discusses how Federally Qualified Health Centers can take control of their credentialing life cycle. Federally Qualified Health Centers (FQHCs) are increasingly becoming an integral component of healthcare delivery within the U.S. With greater patient accessibility offered through the Affordable Care Act and Medicaid expansion (in many states), FQHCs deliver critical… Read More

Patrick Doyle, Senior Vice President, discusses how Federally Qualified Health Centers can take control of their credentialing life cycle.

Federally Qualified Health Centers (FQHCs) are increasingly becoming an integral component of healthcare delivery within the U.S. With greater patient accessibility offered through the Affordable Care Act and Medicaid expansion (in many states), FQHCs deliver critical services across the healthcare spectrum to more and more patients every year. Unlike traditional outpatient facilities, these non-profit organizations are tasked with providing complex services regardless of a patient’s ability to pay. Because FQHCs operate with limited budgets, it is essential that every billable dollar is collected. Unfortunately, this doesn’t always happen because of credentialing related denials – the good news is that this problem is preventable.

Costly Credentialing Mistakes

For many reasons, high provider turnover is common in the FQHC space. Given the expanding populations that these facilities serve, and the areas in which they’re located, there is an added urgency to onboard new providers as quickly as possible to ensure that there is no disruption in service. Because the credentialing process can often be a lengthy one, especially in the FQHC environment which requires linking all billable providers to government and commercial plans alike, credentialing, and provider enrollment specifically, is often given a lower priority status within a facility’s revenue cycle. In order to satisfy increasing demand and sustain desired patient through-put, it is not uncommon for FQHC providers to serve their patients with the unfortunate knowledge that they won’t be getting paid.

Given the high mission status of providing their communities with guaranteed healthcare access with very limited financial resources, FQHCs cannot afford to write off an otherwise valid encounter. When they do, the revenue challenges for these facilities become significantly amplified. In addition to hurting their bottom line, FQHCs are also placing a greater burden on those in the community who provide them with financial assistance through charitable contributions as a means to sustain their mission and make up for any revenue shortfalls.

Experienced Staff Helps Recoup Lost Revenue

Like all healthcare providers, there are different situations and levels of credentialing required for FQHCs. Nurse practitioners need to be connected to their payers, participating physicians must be credentialed with all FQHC locations at which they practice, and CAQH attestations need to occur every 120 days (for many payers). Given the complexity of the credentialing and provider enrollment life cycle, relying on manual methods such as manila folders, paper, Excel spreadsheets, and faxing has proven to be an inefficient way to effectively manage these processes. This is especially true for FQHCs with multiple site locations as providers may only be credentialed with some of the locations yet practicing at all of them.

Partnering with an expert credentialing and provider enrollment vendor, like Newport Credentialing Solutions, can significantly reduce the costs of implementing a quality credentialing process while substantially improving revenue by reducing credentialing related denials.

According to a Newport FQHC client, “When credentialing and enrollment are not managed properly, lost revenue is quick to follow. As we learned the hard way, experience matters. Newport’s staff has in-depth knowledge of the credentialing and enrollment processes and has established relationships and good rapport with the payers. This means they know who to call when follow-up is needed which has helped us to recoup significant lost revenue.”

The Newport Difference

A key differentiator when working with Newport is the level of operational and performance visibility that Newport provides. When new providers are on-boarded and need to be credentialed, it can be difficult to track the status of all providers. Newport’s approach to this problem is to offer cloud-based automation and reporting tools which empower facilities to access on-demand information about each provider, location, and payer within their credentialing life cycle. Additionally, Newport’s revenue enhancement tools give facilities a unique ability to measure the at-risk revenue of their outstanding enrollments. Understanding the revenue impact associated with credentialing will help FQHCs make better organizational decisions that foster greater revenue potential.

In the FQHC industry every penny counts. Don’t overlook the importance of having a good credentialing and enrollment process. Take the time to assess where things stand; you may be surprised at just how much money you are leaving on the table – and how much smaller of an investment is required to get it back.

Key Benefits:

• Highly experienced staff
• More efficient, automated processes
• Exceptional tracking and reporting

 

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Newport Credentialing