Representative Economics
Case Study 1 – New Panel Membership / Decreased Processing Time
- A physician group of 10 doctors currently bill $10M annually
- Newport Credentialing Consulting Services conducts a revenue analysis
which analyzes physician capacity, patient demographic and insurance panel participation.
- Newport Identifies:
- Physician capacity is at maximum capacity and that in order to
meet the group’s current patient inflow, an additional 5 physicians should
join the physician group.
- Panel membership should also be expanded for the existing 10 physicians
as well as for the 5 additional physicians.
- 5 additional physicians join the existing group practice bringing
the total number of doctors to 15 and billings to $15M
- Newport provides credentialing services for the 5 additional physicians.
Through our expedited processing, Newport is able to reduce the typical application
processing time from 180 days to 90 days
- The additional 5 physicians will bring in an additional $2M in
annual collections or $5,479 per day to the group practice’s bottom line.
By proactively decreasing your days in credentialing by 90 days, your practice
could realize an incremental increase in collections of $493,110.
The following graph depicts the increase in incremental net revenue by decreasing
the application processing time from to 180 days to 90 days:
It was published on
8/17/2011 9:34:00 AM
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MGMA discusses provider credentialing
It was published on
6/21/2011 2:37:00 AM
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