The following case studies are intended to provide representative examples of how credentialing plays a critical component of the revenue cycle.


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:


Provider Enrollment ROI Case Study

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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