Credentialing Services for Revenue Cycle Management Companies

Improve client revenue and satisfaction by offering comprehensive, IT enabled provider credentialing solutions

Newport understands that revenue cycle management company’s are constantly looking for new and differentiated ways to improve their client’s financial performance. Newport’s cloud-enabled credentialing services for revenue cycle management companies allows these firms to improve their client’s financial performance through either a direct to client or private-label credentialing offering.

It’s a simple proposition; revenue cycle management companies are good at revenue cycle management, if they weren’t, they wouldn’t be in business. In focusing on offering the leading EHR, ICD-10 coding software/services, scheduling and practice management software, or billing services, revenue cycle management companies have their hands full. However, often revenue cycle management companies are missing out on client revenue by not offering provider credentialing services.

Newport partners with revenue cycle management companies to help them improve their client’s financial performance through either a direct to client or private-label credentialing offering. Working with revenue cycle companies of all sizes, Newport seamlessly blends into our client’s culture to offer best in breed credentialing software and services.

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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