Credentialing Services for Academic Medical Centers

Our enterprise-wide IT enabled credentialing solutions improve organizational efficiency and ensure that your providers are continually enrolled

Academic medical centers, with their mission to support leading research, teaching, and the treatment of medically complex patients, face unique challenges within the shifting healthcare landscape. In the face of reimbursement models shifting from “fee for service” to “fee for value,” these institutions must find ways to improve clinical outcomes and financial performance without increasing expenses.

Newport’s cloud-enabled credentialing services for academic medical centers dramatically improves the management of academic medical center’s credentialing by implementing enterprise-wide credentialing solutions which streamlines management, implements robust reporting, reduces costs, and improves revenue.

Newport understands academic medical centers. Our deep experience working with some of the largest academic medical centers in the country has positioned Newport to develop and implement industry defining credentialing solutions at a fraction of the cost of what it takes to manage credentialing in-house.

Further, Newport’s dynamic delivery model enables Newport to rapidly deploy staffing to help these institutions handle the annual provider on-boarding process (we call it “resident season.”)

Administrators looking for ways to improve revenue, reduce costs, and improve outcomes – without sacrificing quality of care – are turning to experienced credentialing partners like Newport for help. Newport specializes in managing academic medical center’s credentialing life cycle through the use of cloud-based workflow software, advanced cloud-based reporting and analytics coupled with industry defining domain expertise. Administrators who work with Newport are successfully increasing their practice’s revenue and reducing denials associated with credentialing.

Newport’s Value

Interactive approaches to corporate strategy foster collaborative thinking to further the overall value proposition.

Improve Revenue 100%
Bundled Software and Services 100%
Client Satisfaction 100%
Reduced Costs 100%

Newport’s Value

Interactive approaches to corporate strategy foster collaborative thinking to further the overall value proposition.

Improve Revenue 100%
Bundled Software and Services 100%
Client Satisfaction 100%
Reduced Costs 100%

Initial Credentialing Services

  • On-site or remote demographic and primary source documentation collection
  • Rapid data entry into our Cloud-Based workflow, analytics, and business intelligence software; CARE
  • Comprehensive Par/Non – Par Analysis
  • Missing demographic and documentation review
  • Application and signature page consolidation and management
  • Quality Assurance
  • Use of UPS, FedEx, and/or Certified Mail to track send and receipt of applications
  • Dedicated Application Follow-up
  • Extensive Payer Contacts
  • Compilation of all Provider Identification Numbers (PINs)

Expirables Management Services

  • Pro-Actively Monitor Document Expiration (e.g., license, DEA registration, board certification)
  • Conduct all CAQH Re-Attestations (every 120 days)
  • Expiring Document Report
  • Respond to Provider Enrollment Billing Issues/Edits

Re-Credentialing Services

  • Conduct all re-credentialing services based on insurance plan requirements
  • Quality Assurance
  • Application and Signature Page Consolidation and Management
  • Use of UPS, FedEx, and/or Certified Mail to track send and receipt of applications
  • Dedicated Application Follow-up

Credentialing Edit and/or Denials Management Services

  • Manage all credentialing related edits (stratified by dollar)
  • Manage all credentialing related denials (stratified by dollar)

Dedicated Account Management

  • Dedicated credentialing specialist to manage all aspects of your credentialing life cycle
  • Weekly dedicated meetings to review progress and performance
  • Weekly reporting to track performance

Advanced Reporting

  • Cloud-based, real time access to advanced institution wide dashboards
  • Ability to view financial impact of delayed credentialing by linking gross charges to “in-process” credentialing applications
  • Ability to develop your own KPI reports through easy to use, click, drag, drop reporting
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