Credentialing Solutions for Advanced Practice Clinicians and Allied Health Professionals

Newport understands that you face the same challenges as physicians

Clinical care provided by non-physicians is increasing at a dramatic pace, so health systems must manage an ever-expanding credentialing and enrollment workload. Administrators charged with delivering on KPIs such as increased revenue, reduced costs, and better patient outcomes—all without sacrificing quality of care—are turning to experienced provider credentialing partners for assistance. Luckily, Newport can help you address all your advanced practice clinician credentialing and allied health professional credentialing needs.

With powerful, extensible, cloud-enabled credentialing software supported by a highly experienced Professional Services team, we can ensure that your nurse practitioners, physician assistants, occupational therapists, physical therapists, and other care-providing allied health professional are enrolled accurately, quickly, and efficiently.

Newport understands that advanced practice clinicians and allied health professionals face the same reimbursement, regulatory, and improved clinical outcomes demands as physicians. However, we also appreciate that many therapy clinics and healthcare institutions simply do not have the technology, expertise, or staff it takes to optimize the revenue and operational components of their nurse practitioner credentialing, physician assistant credentialing, occupational therapist credentialing, and physical therapist credentialing lifecycles.

Newport’s solutions have been designed to facilitate the proactive management of every phase of the credentialing lifecycle, including all allied health professional-related certifications, verifications, and privileging needs. Our provider enrollment software’s powerful custom workflow tools and advanced, cloud-based reporting and analytics capabilities provide the business intelligence you need to address your organization’s unique credentialing requirements. In partnership with Newport, health systems are successfully increasing their practice’s revenue and reducing denials associated with the credentialing of their non-physician clinical staff.

Newport’s Value

Interactive approaches to provider credentialing and enrollment promote collaborative thinking and strategic decision-making to advance the health of the communities you serve, improve the patient experience, enhance clinician satisfaction, and lower the total cost of care.

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 for Advanced Practice Clinicians and Allied Health Professionals

  • Onsite or remote demographic and primary source documentation collection
  • Rapid data entry into CARE, our cloud-based workflow, analytics, and business intelligence software
  • Comprehensive Participating and Non-Participating (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

  • Proactive monitoring of document expirations (e.g., license, DEA registration, board certification)
  • Conduct all Council for Affordable Quality Healthcare (CAQH) re-attestations (every 120 days)
  • Expiring document report
  • Respond to provider enrollment billing issues/edits

Credentialing Edit and/or Denials Management Services

  • Manage all credentialing-related edits for nurse practitioners, physician assistants, etc. (stratified by dollar)
  • Manage all credentialing-related denials for nurse practitioners, physician assistants, etc. (stratified by dollar)

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

Advanced Reporting

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

Dedicated Account Management

  • Dedicated credentialing specialist to manage all aspects of your credentialing lifecycle
  • Weekly dedicated meetings to review progress and performance
  • Weekly reporting to track performance
Newport Credentialing